Medicaid Book

Opening Comments regarding the Medicaid Community SpouseOpening Comments regarding the Medicaid Community Spouse

Opening Comments regarding the Medicaid Community Spouse

While nursing home bills accrue, the healthy or well spouse, known as the “Community Spouse,” [Note 1] struggles to identify…

3 years ago
Medicaid PlanningMedicaid Planning

Medicaid Planning

Medicaid planning is discussed in more detail in subsequent chapters. Planning is the process of restructuring an estate in a…

3 years ago
Transfer PenaltiesTransfer Penalties

Transfer Penalties

Medicaid beneficiaries cannot “fix” eligibility by giving away resources. A transfer of resources without receipt of fair market value will…

3 years ago
Changing the Default Rules for a Community SpouseChanging the Default Rules for a Community Spouse

Changing the Default Rules for a Community Spouse

As with the income rules, the resource defaults may be changed. First, if all of the Applicant's income has been…

3 years ago
Default Community Spouse Resource AllowanceDefault Community Spouse Resource Allowance

Default Community Spouse Resource Allowance

A Community Spouse is entitled to a resource allowance in addition to the income allowance. 42 U.S. Code § 1396r–5(f)(1)…

3 years ago
DeemingDeeming

Deeming

The SSI regulations describe deeming as the process of considering another person's income or resources to be your own. See…

3 years ago
Resource EligibilityResource Eligibility

Resource Eligibility

As a general rule, all countable resources owned by the Institutionalized Spouse are considered available to pay his or her…

3 years ago
Income of the Community SpouseIncome of the Community Spouse

Income of the Community Spouse

The law protects a Community Spouse with low income. It does this by diverting a portion of the applicant's income…

3 years ago
Income EligibilityIncome Eligibility

Income Eligibility

On the income side, there are three pathways to Medicaid eligibility for nursing home residents. First, SSI recipients are almost…

3 years ago
Nursing Home Medicaid and HCBS Waivers – Financial EligibilityNursing Home Medicaid and HCBS Waivers – Financial Eligibility

Nursing Home Medicaid and HCBS Waivers – Financial Eligibility

In evaluating financial eligibility for Medicaid, both monthly income and resources must be considered. The basic rule is everything having…

3 years ago