Question 1

How much spending money is a Medicaid nursing home resident allowed to keep each month in New York?

Accepted Answer

New York's Nursing Home Resident Personal Needs Allowance is $50 per month - the amount a Medicaid-funded nursing home resident is permitted to keep from their own income for personal expenses, with the rest going toward the cost of their care. According to the NY State Office for the Aging (NYSOFA), this figure has been unchanged since the 1980s, and NYSOFA notes that 33 other states currently pay a higher PNA, ranging from $52 to $200.

Question 2

What is the MLTC special income standard for Long Island and why does it matter for Medicaid home care?

Accepted Answer

The special income standard for housing expenses, available to certain individuals enrolled in a Managed Long Term Care plan, varies by NYSDOH region - for the Long Island region specifically, it is $1,701.00. This regional figure is higher than most upstate regions (for comparison, the Central New York region's is $426 and the Western region's is $341), reflecting Long Island's higher housing costs, and remains in effect until updated federal poverty levels are published.

Question 3

How much does assisted living cost in New York State?

Accepted Answer

According to CareScout's 2025 Cost of Care Survey, the median cost of an assisted living community (private one-bedroom) in New York State is $225 per day, or about $7,110 per month and $85,320 per year. This is a statewide median - CareScout's published state-level data tables do not break out a separate Long Island or metro New York figure.

Question 4

What does a nursing home cost per day in New York?

Accepted Answer

CareScout's 2025 Cost of Care Survey puts the New York State median at $511 per day ($15,528/month, $186,333/year) for a semi-private room and $550 per day ($16,729/month, $200,750/year) for a private room, both based on 365 days of care. These are statewide figures; CareScout does not publish a separate Long Island-specific nursing home rate.

Question 5

How much does hourly in-home caregiving cost in New York?

Accepted Answer

CareScout's 2025 Cost of Care Survey reports a New York State median of $35 per hour for what it now calls non-medical caregiver services, a category that merged the formerly separate homemaker services and home health aide categories in 2025 due to price convergence. Based on a 44-hour week, that works out to roughly $6,673 per month or $80,080 per year. Private duty nursing, a higher-acuity service, runs a New York State median of $120 per hour.

Community	Care type	Address	County
Atria on Roslyn Harbor	Independent Living	100 Landing Rd Roslyn, OH 11576	Nassau
Atria Glen Cove	Independent Living	146 Glen St Glen Cove, OH 11542	Nassau
Atria East Northport	Independent Living	10 Cheshire Pl East Northport, OH 11731	Suffolk
Atria Bay Shore	Independent Living	53 Ocean Ave Bay Shore, OH 11706	Suffolk
Jefferson's Ferry	Independent Living	One Jefferson Ferry Drive South Setauket, OH 11720	Suffolk
Peconic Landing	Independent Living	1600 Brecknock Road Greenport, OH 11944	Suffolk
The Sinclair at Port Washington	Independent Living	300 E Overlook Port Washington, OH 11050	Nassau
Highfield Gardens Care Center of Great Neck	Nursing Home	199 Community Dr Great Neck, OH 11021	Nassau
The Regency at Glen Cove	Assisted Living	94 School Street Glen Cove, OH 11542	Nassau
The Residences at Plainview	Independent Living	9 Gerhard Road Plainview, OH 11803	Nassau
Fountaingate Gardens	Independent Living	32 Hauppauge Road Commack, OH 11725	Suffolk
The Chelsea at Brookhaven	Assisted Living	1 Meadow Lane Yaphank, OH 11980	Suffolk
Brightview Sayville	Independent Living	445 Broadway Avenue Sayville, OH 11782	Suffolk
Birchwood Suites	Assisted Living	423 Clay Pitts Road East Northport, OH 11731	Suffolk
Brandywine Living at Huntington Terrace	Assisted Living	70 Pinelawn Road Melville, OH 11747	Suffolk

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