Significant Changes to Medicaid Eligibility Start January 2023 (2023)

Starting next month, January 2023, Medicaid eligibility requirements for New Yorkers age 65+ and people with disabilities will dramatically expand.

Applications for Medicaid filed after January 1, 2023 will be evaluated under significantly higher income and asset limits, allowing more people to benefit from these programs. A first, undocumented immigrants above 65 will also qualify for Medicaid.


The eligibility threshold for Medicaid income will rise from 100% of the federal poverty level (FPL) to 138% (the FPL itself is expected tobe updated and increase in 2023).

(Video) Medicaid income and asset thresholds as of January 1st 2023

The income threshold will increasefrom $934/month to $1,563/month for a single person and from $1,367/month to $2,106/month for couples applying for Medicaid.

This drastic increasewill allow applicants to keep more income and will lower their spend-downor funding of a pooled income trust(or completely void the need for oneif their income is below the new threshold).

(Video) Congress Ends "Continuous Eligibility in Medicaid"

Additionally, the asset limit for Medicaid will drastically increase from $16,800to $28,133 for a single personand from $24,600 to $37,902 for a couple. This means that applicants can have more assets in their name and continue to remain eligible for Medicaid.

More changes will be made to the Medicaid Buy-In for Working People with Disabilities Program, Qualified Medicare Beneficiary (QMB) Program, Specified Low-Income Medicare Beneficiary (SLMB) Program, Qualifying Individual (QI) Program, and several others.


Furthermore, undocumented immigrants age 65+ will qualify for full Medicaid benefits.

Medicaid has already begun sending out notices torecipients with guidance on how to requesta budget review before the next Medicaid renewal and after January 1, 2023. Those enrolled in pooled income trusts or contributing their spend-down to Managed Long-Term Care health plans (MLTCs)should review the notices and contact us for any assistance.

(Video) Expanded Benefit Changes To Medicaid/Medicare Programs 2023


While these are all tremendous and helpful changes, it's important to remember that the new30-monthlookback for Community Medicaid will likely begin for individuals applying for Medicaid in the first half of 2024. Therefore, if you or yourloved ones may need community Medicaid assistance within the next year, we still urge youto contact us and begin the application process as soon as possible.

(Video) Medicaid eligibility may be in question

For any questions or assistance, contact us.


1. Medicaid Eligibility Redetermination: Keeping Our Community Covered
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2. Medicaid Eligibility Verification Software
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3. Medi-Cal Changes in January 2023
4. Medi-Cal Eligibility Updates for 2023
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5. 2023 Health Care Transitions for Patients with Medicare and Medi-Cal
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6. How Medicare Part B Will Change in 2023 - What You Need to Know
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