Income limits
Nursing-facility income test
Source unavailable. Check with the state Medicaid agency.
Pathway: institutional-long-term-care; setting: nursing-facility services; applies to: applicant (categorically needy or medically needy applicant under the applicable pathway); measure: cap.
Asset limits
Base long-term-care applicant resource limit
$2,500 plus qualifying long-term-care insurance coverage
Pathway: institutional-long-term-care; setting: nursing-facility and qualifying HCBS services; applies to: applicant (single applicant before the He-W 856.07 adjustment; conforming long-term-care insurance coverage may also increase the amount); measure: cap.
Adjusted resource limit for named nursing-facility and HCBS pathways
$7,500 total resource standard
Pathway: institutional-long-term-care; setting: nursing-facility and HCBS categories named in He-W 856.07; applies to: applicant (eligible applicant in a named pathway; the rule disregards only the amount above the applicable base limit needed to reach this total); measure: cap.
Community spouse resource allowance (CSRA)
Community-spouse resource allowance
Source unavailable. Check with the state Medicaid agency.
Pathway: spousal-impoverishment; setting: long-term-care services; applies to: community-spouse (institutionalized applicant with a community spouse); measure: range.
Monthly maintenance needs allowance (MMMNA)
Community-spouse monthly maintenance-needs allowance
Source unavailable. Check with the state Medicaid agency.
Pathway: spousal-impoverishment; setting: long-term-care services; applies to: community-spouse (institutionalized applicant with a community spouse); measure: range.
Home-equity limits
Home-equity limit
$752,000
Pathway: institutional-long-term-care; setting: nursing-facility and waiver services; applies to: applicant (applicant without a spouse or qualifying minor or disabled child in the home); measure: cap.
Sources and update policy
Methodology & sources
Checked at least annually and whenever the state or CMS publishes new long-term-care eligibility figures.
This page is educational and is not legal advice.