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Household Size Annual Monthly Annual Monthly Annual Monthly Annual Monthly Annual Monthly Annual Monthly Annual Monthly Annual HH Size One 15,960 1,330 22,025 1,836 23,940 1,995 29,526 2,461 29,686 2,474 31,920 2,660 39,900 3,325 33,038 One Two 21,640 1,804 29,864 2,489 32,460 2,705 40,034 3,337 40,251 3,355 43,280 3,607 54,100 4,509 44,796 Two Three 27,320 2,277 37,702 3,142 40,980 3,415 50,542 4,212 54,640 4,554 Four 33,000 2,750 45,540 3,795 49,500 4,125 61,050 5,088 66,000 5,500 Five 38,680 3,224 53,379 4,449 58,020 4,835 71,558 5,964 77,360 6,447 Six 44,360 3,697 61,217 5,102 66,540 5,545 82,066 6,839 88,720 7,394 Seven 50,040 4,170 69,056 5,755 75,060 6,255 92,574 7,715 100,080 8,340 Eight 55,720 4,644 76,894 6,408 83,580 6,965 103,082 8,591 111,440 9,287 Nine 61,400 5,117 84,732 7,061 92,100 7,675 113,590 9,466 122,800 10,234 Ten 67,080 5,590 92,571 7,715 100,620 8,385 124,098 10,342 134,160 11,180 Each Add'l 5,680 474 7,839 654 8,520 710 10,508 876 11,360 947 + Person Amount Amount Amount Central $439 Northeastern $567 Northern Metropolitan $1,380 Rochester $505 Long Island $1,828 Western $402 New York City $2,104 Spousal Impoverishment Income Resources Special Standards for Housing Expenses Community Spouse $4,066.50 $162,660 Region Region Region New York State Income and Resource Standards for Non-MAGI Population Effective January 1, 2026 138% FPL Medicaid Income 100% FPL 150% FPL 185% FPL 250% FPL Resources 186% FPL 200% FPL *In determining the community spouse resource allowance on and after January 1, 2026, the community spouse is permitted to retain resources in an amount equal to the greater of the following $74,820 or the amount of the spousal share up to $162,660. The spousal share is the amount equal to one-half of the total value of the countable resources of the couple as of the beginning of the most recent continuous period of institutionalization of the institutionalized spouse on or after September 30, 1989. $50 $33,038 Family Member Allowance $2,705 (150% of FPL for 2) is used in the FMA formula the maximum allowance is $902 N/A Institutionalized Spouse