Medicaid Policy
Medicaid Policy
Previous Policy (431-9.1 was previously found in section 409-11.1 until November 1, 2021)
Calculate the SNA
1. Add the amount the community spouse pays for monthly rent or mortgage payment, homeowner’s insurance, and taxes (prorate insurance and taxes over 12 months) and related expenses such as condominium maintenance charges or homeowner association (HOA) fees; and
2. The utility standard (from Table II-A) for the utilities paid.
a. Use the Standard Utility Allowance (SUA) when expenses include heating or cooling expenses, or
b. Use the Without Heating/Cooling Allowance (WOHA) when there are no heating or cooling expenses, but utilities including electricity, garbage, sewer, or water, or
c. Use the Telephone Only Allowance (TOA) when the only expense is a telephone.
d. If the member and the community spouse live together and share the cost of the utilities, use one-half of the appropriate utility standard for the community spouse.
3. Subtract the Shelter Standard (from Table II-A) from the total shelter cost. The difference is the monthly excess shelter cost.
4. Add the spouse’s excess shelter cost to the Minimum Spousal Needs Standard on Table II.
· This amount is the Spousal Monthly Maintenance Allowance.
· If this amount is more than the Maximum Spousal Needs Standard on Table II-A, use the Maximum Spousal Needs Standard as the Monthly Maintenance Allowance.
5. Subtract the spouse's total monthly income from the calculated Spousal Monthly Maintenance Allowance. (Use the rules in 413-1 to determine the income.) The remainder is the Spousal Needs Allowance (SNA).