Obsolete 0118 - 503-3 How to Apply the Asset Limit

Effective Date: January 1, 2014 - December 31, 2017 (503-3 was renumbered and renamed as of January 1, 2018)

A. All Aged, Blind and Disabled Medicaid

1. Use a one-person asset limit for an individual who is unmarried or who is not living with a spouse.

2. Use the two-person asset limit for a person who is living with his or her spouse, except when that spouse is eligible under a home- and community-based Medicaid waiver program or the nursing home program. Then only count the non-waiver spouse's assets. (See Sec. 585, 3.D.)

3. When deeming assets from parents to a minor disabled child, from the parents' assets:

· deduct the asset limit for one when there is only one parent in the home,

· deduct the asset limit for two when there are two parents in the home.

B. Medicare Cost-Sharing Programs

1. Use the asset limit for one person for an individual who is not living with a spouse.

2. Use the asset limit for two persons for an individual living with his or her spouse even when the spouse is covered under a home and community based waiver program.

a. Determine eligibility for the couple together for the Medicare Cost-Sharing programs when both have Medicare.

b. Deem the waiver spouse if the waiver spouse does not have Medicare or if that allows the other spouse to qualify for a Medicare Cost-Sharing program. The asset limit will still be for two people.

C. Medicaid Work Incentive Program

The asset limit for the Medicaid Work Incentive Program is $15,000 for all household sizes.

D. Medically Needy Family, Child and Pregnant Woman

1. Use the asset limit that matches the number of people being counted in the assistance unit's household size.

· 1 person $2000

· 2 people $3000

2. Add $25 for each additional person in the assistance unit's household size.