New Medicaid Values for the New Year

It is a new year, and as is usually the case, some of the limits and other values pertaining to long-term care Medicaid eligibility have changed.

Most notably, the income limit applicable to most Medicaid applicants in Texas has increased from $2,130.00 per month to $2,163.00 per month. For couples who are both in care and applying for benefits, the new income limit is $4,326.00. But remember that if you are considering applying for benefits and think your income may be too high, you may still be eligible with a proper Qualified Income Trust (QIT).

For 2014, the resource limits stay the same. These are $2,000.00 maximum countable resources for an individual or $3,000.00 maximum countable resources for a couple who are both in care and both applying for benefits.

The transfer of assets divisor/daily rate of $156.34, which became effective on September 1, 2013, will remain in effect for 2014. The Spousal Protected Resource Amount (Standard SPRA) will also remain the same for 2014: Maximum SPRA of $115,920.00 and Minimum SPRA of $23,184. The Minimum Monthly Maintenance Needs Allowance (MMMNA) for 2014 remains at $2,898.00. The MMMNA is one of the figures utilized in the calculation of eligibility for an expanded SPRA.

Keep in mind that if your resources exceed $115,920.00 on the PRA date, you may be able to expand the protected resource amount available for a community spouse. But remember that rules related to expanding the SPRA are based on income, and can be complex. If you want more information or feel you may need an expanded SPRA, you should consult an Elder Law attorney.

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