Medicaid Policy
Effective Date: October 1, 2025
Income deductions, allowances and limits
|
Personal Needs Allowance (PNA) |
Institutional Long Term Stay |
$45 |
|
|
Institutional Short Term Stay One person BMS |
$382 |
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|
HCB Waivers 100% of Poverty All Waivers (Not PDW) For NCW - Special Income group only |
$1,305 Changes each March |
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|
Physical Disabilities Waiver or Community Transitions Waiver |
When total income is under 300% of SSI |
$2,901 Changes each January |
|
|
When total income is over 300% of SSI |
$1,305 Changes each March |
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|
Institutional/Waiver Earned Income Deductions |
Aging, Brain Injury, New Choices and Institutional. |
$125
|
|
UCSW, Technology Dependent and Medically Complex Children Disabled (SGA) |
$1,620 Changes each January |
|
|
UCSW, Technology Dependent and Medically Complex Children Blind (SGA) |
$2,700 Changes each January |
|
HCB Waivers Shelter Deductions |
Shelter Deduction (Actual Rent, or Mortgage/Taxes/Insurance) |
up to $300
|
|
Standard Utility Allowance with heating or cooling expense |
$514 Changes each October |
|
|
Non-Heat/Cool Utility Allowance |
$431 Changes each October |
|
|
Telephone Only Allowance |
$59 Changes each October |
|
Physical Disabilities Waiver |
Income Eligibility Limit: 300% SSI rate |
$2,901 Changes each January |
|
When income exceeds 300% SSI rate |
$1,305 Changes each March |
|
New Choices Waiver or Community Transitions Waiver Special Income Group |
Income Eligibility Limit (300% of SSI Rate) |
$2,901 Changes each January |
Spousal Impoverishment Information
|
Spousal Needs Standard |
Minimum |
$2,644 Changes each July |
|
Maximum |
$3,948 Changes each January |
|
Spousal Needs Allowance Calculation |
Shelter Standard |
$794 Changes each July |
|
Standard Utility Allowance |
$514 Changes each October |
|
Assessment of Assets Limits |
Minimum Spousal Asset Share |
$31,584 Changes each January |
|
Maximum Spousal Asset Share |
$157,920 Changes each January |
Transfer of Asset Information
|
Average Private-Pay Rate for Nursing Homes (to determine penalty period) |
$7,344
|
Home Equity Information
|
Home Equity Limits |
Maximum |
$730,000 Changes each January |