Institutional Medicaid in New York runs on the same 60-month look-back described elsewhere in this guide — any uncompensated transfer made before applying for nursing-facility Medicaid gets scrutinized against that five-year window.

When a transfer turns out to be uncompensated, the state calculates a penalty period by dividing the value transferred by a regional average private-pay nursing-home cost. A definitive 2026 statewide rate sheet wasn't located during this research, so families should confirm the current regional divisor before relying on any estimate.

One figure that stands out: New York's nursing-home personal-needs allowance is just $50 per month, a number that hasn't moved since 1988 and that sits lower than the allowance in 33 other states.

New York figures

Institutional look-back
60 months
Personal-needs allowance
$50/month
PNA unchanged since
1988
States with a higher PNA
33 other states
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