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Medicaid Planning · New York

New York Medicaid look-back rules

Medicaid look-back rules rules for New York.

Published: September 4, 2026. Last checked: September 2, 2026.

Look-back period

60 months for institutional nursing-facility transfer review

Source: New York State Department of Health GIS 14 MA/016 [state-medicaid-agency] — Effective January 1, 2014; directive dated August 5, 2014

Transfer-penalty divisor

Central $14,146; Northeastern $14,783; Western $13,765; Northern Metropolitan $15,024; New York City $15,282; Long Island $15,193; Rochester $15,675 per month

Source: New York State Department of Health GIS 25 MA/14 [state-medicaid-agency] — Regional transfer-of-assets rates effective January 1, 2026

How the state administers the rule

Use the regional rate in effect on the application or increase-in-coverage request date for the region where the nursing facility is located.

Source: New York State Department of Health GIS 25 MA/14 [state-medicaid-agency] — Regional transfer-of-assets rates effective January 1, 2026 Additional authority: New York State Department of Health GIS 14 MA/016 [state-medicaid-agency] — Effective January 1, 2014; directive dated August 5, 2014

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.