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New Medicaid Numbers for 2018

By Swogger Bruce & Millar, Jan 4 2018 09:02PM

Community Spouse Resource Allowance: $24,720 - $123,600

The community spouse resource allowance (CSRA) is the amount of countable assets a person can keep while still qualifying their spouse for Medicaid long-term care benefits. The CSRA is calculated by dividing in half the couple's countable assets on the first day of continuous long-term care. The CSRA has a minimum and maximum amount, which is shown above.

Community Spouse Income Allowance: $3,090 (maximum)

The community spouse income allowance (CSIA) is the amount of income from the spouse in long-term care that can be diverted for the use of the community spouse. The CSIA is calculated by a formula; the maximum result of the formula is $3,090.

Divestment Divisor: $8,261

The divestment divisor is the average monthly cost of a nursing home in Michigan. The divisor is used when calculating a penalty period for gifts made during the five-year look-back period. All gifts made during the five years are added together and divided by the average monthly cost of a nursing home in Michigan; the result is the number of months and day that Medicaid will not pay for long-term care expenses. For example, if all the gifts made during the five-year look-back period added up to $82,610, Medicaid would refuse to pay for long-term care expenses for ten months.

Home Equity Limit: $572,000

The home equity limit only applies when there is not a community spouse living in the home. If a single person enters long-term care, their home equity must be below $572,000 to qualify for Medicaid. The limit also applies if both spouses are in long-term care.

MI Choice Waiver Income Limit: $2,250 or $3,375

The MI Choice Waiver Program allows Medicaid to cover some in-home care, and some assisted living expenses. Medicaid for long-term care does not have an income limit; the waiver program is different. There is an income cap for the waiver program; $2,250 for a single person receiving benefits, and $3,375 for a couple receiving benefits. If you qualify for the waiver program, Medicaid allows you to keep all your income to pay for expenses that it does not cover.

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