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Medicaids CSRA: Protecting a Healthy Spouse from Poverty Medicaid law provides special protections for the spouses of Medicaid applicants to make sure the spouses have the minimum support needed to continue to live in the community while their loved one is receiving long-term care benefits, usually in a nursing home One of the most important protections is the Community Spouse Resource Allowance (CSRA) It works this way: if the Medicaid applicant
Medicaid Applicants: Protecting Your Healthy Spouse in 2025 Generally, the CSRA increases each year Starting January 1, 2025, a spouse who lives at home while their partner receives Medicaid long-term care benefits can retain up to $157,920 in assets (an increase from $154,140 in 2024) Some states apply a maximum CSRA as well as a minimum CSRA Under federal law, the minimum CSRA in 2025 will be $31,584
Key State Medicaid Information for New York Key Medicaid Information for New York Protections for the Community Spouse Community Spouse Resource Allowance (CSRA): Minimum: $74,820 00 Maximum: $157,920 00 Increased CSRA: Permitted New York does not follow the income-first rule Annuities: Actuarially sound annuities are permitted Monthly Maintenance Needs Allowance: $3,948 00
2024 Standard Protections for Spouses of Medicaid Applicants Community Spouse Resource Allowance (CSRA) A spouse who continues living at home while their partner receives long-term care coverage through Medicaid can keep up to $154,140 in assets starting in 2024
Key State Medicaid Information for Ohio - ElderLawAnswers Protections for the Community Spouse Community Spouse Resource Allowance (CSRA): Minimum: $31,584 00 Maximum: $157,920 00 Increased CSRA: Permitted through appeal Ohio follows the income-first rule Annuities: Annuities purchased prior to the first continuous period of institutionalization are given some protected status * Monthly Maintenance Needs Allowance: Minimum: $2,643 75 Maximum: $3,948 00
Protecting Spouses of Medicaid Applicants: 2023 Guidelines Learn more about the CSRA and monthly maintenance needs allowance Home Equity Limits In 2023, a Medicaid applicant’s principal residence will not be counted as an asset by Medicaid if the applicant's equity interest in the home is less than $688,000 States have the option of raising this limit to $1,033,000
How Medicaids Snapshot Date Affects Medicaid Eligibility Example: If a couple has $100,000 in countable assets on the snapshot date and the state allows the spouse to keep half the couple’s assets up to the maximum CSRA, the Medicaid applicant will be eligible for Medicaid once the couple's assets have been reduced to a combined figure of $52,000 ($2,000 for the applicant plus $50,000 for the
Key State Medicaid Information for Louisiana - ElderLawAnswers Medicaid information for LouisianaProtections for the Community Spouse Community Spouse Resource Allowance (CSRA): $157,920 00 Increased CSRA: Permitted, Louisiana folows the income-first rule Annuities: Actuarially sound annuities are permitted (with restrictions; check with attorney) Monthly Maintenance Needs Allowance: $3,948 00
Key State Medicaid Information for Idaho Idaho Protections for the Community Spouse Community Spouse Resource Allowance (CSRA): Minimum: $31,584 00 Maximum: $157,920 00 Increased CSRA: Permitted Annuities: Actuarially sound annuities are permitted but State restrictions exceed federal law in this area, complicating planning Monthly Maintenance Needs Allowance: Minimum: $2,555 00
Key State Medicaid Information for Pennsylvania - ElderLawAnswers Medicaid information for PennsylvaniaNote: Institutionalized Medicaid recipients in Pennsylvania with monthly income below $2,199 may now retain $8,000 in total resources; otherwise, the figure is $2,000 *Note on annuities: "There is split authority on the effect of a purchase of an actuarially sound annuity in Pennsylvania A state appeals court has held that the purchase of an actuarially