Updated August 26, 2026. Quick answer: New York uses seven regional rates for 2026, from $13,765 a month in the Western region to $15,675 in the Rochester region. New York City is $15,282.
The figure New York publishes
| What the state lists | Figure |
|---|---|
| Central | $14,146 |
| Western | $13,765 |
| Northeastern | $14,783 |
| Northern Metropolitan | $15,024 |
| New York City | $15,282 |
| Rochester | $15,675 |
| Long Island | $15,193 |
How the penalty period is calculated
- Districts must use the regional rate in effect as of the date of application, or the date of a request for an increase in coverage, for the region in which the facility is located.
Once you have the figure above, the Medicaid penalty period calculator does the arithmetic. This page is the New York rate record; the calculator is the class parent.
What this page does not settle
- The region is set by where the facility is, not by where the applicant lives.
- The source lists the counties in each region; this page gives the rate per region rather than reproducing the full county map.
Eligibility is decided by the state agency on the whole file, not by this one number. Nothing here is legal advice, and no one should transfer, retitle or give away property on the strength of a worksheet.
Source
New York State Department of Health, GIS 25 MA/14, 2026 Medicaid Regional Nursing Home Rates — retrieved and checked against the state text on August 26, 2026.
The penalty divisor governs transfers, not eligibility. For the income side, see New York’s Medicaid nursing-home income test, which gives the figure or mechanism and the state regulation it comes from.
Related: New York’s Medicaid Personal Needs Allowance; the amount a nursing-facility resident keeps from their own income each month.
Related: New York’s Medicaid home equity limit for a single applicant with no spouse or dependent child at home.