Medicaid Policy
Effective Date: July 1, 2025
Income deductions, allowances and limits
Personal Needs Allowance (PNA) |
Institutional Long Term Stay |
$45 |
|
Institutional Short Term Stay One person BMS |
$382 |
||
HCB Waivers 100% of Poverty All Waivers (Not PDW) For NCW - Special Income group only |
$1,305 Changes each March |
||
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 |
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 |
$500 Changes each October |
|
Non-Heat/Cool Utility Allowance |
$420 Changes each October |
|
Telephone Only Allowance |
$57 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 |
$500 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 Changes each July |
Home Equity Information
Home Equity Limits |
Maximum |
$730,000 Changes each January |