Expanding Health Care Coverage


The Nelson A. Rockefeller Institute of Government

Funding Area

Expanding Health Care Coverage


March 31, 2009


This NYHealth-funded report was created by the Rockefeller Institute of Government. It analyzes the role of asset transfers in New York county officials’ decisions to deny Medicaid coverage for nursing home care.

The report finds that transfer of personal financial assets resulted in denying an average of 7% of applications during the last 10 years. It also finds a wide range of denial rates among the counties, with some denying close to half of applications examined in the study while others denied less than 1%. Among the State’s large counties, the study found higher-than-average rejection rates in Rockland (24.2%), Ulster (22.6%), Saratoga (14.6%), and Suffolk (14.5%) counties. In Westchester (0.5%), Dutchess (1.0%), Schenectady (1.2%), Rensselaer (1.3%), Orange (1.4%), and Erie (2.1%) counties, reported rejection rates were well below the statewide average.