Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Spousal Protections


  • Community spouses may keep any income in their own name. The State allows the institutionalized spouse's income to supplement the community spouse's income up to a maximum of $2267.

  • The community spouse of a nursing home resident may keep up to the federal maximum of $90,660 in assets. The institutionalized spouse may keep $2,000 of assets or $5,000 if the individual's income is less than 88 percent of FPL. All assets over these amounts must be spent on nursing home care before Medicaid will begin to pay.

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