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$3000 for an applicant/member and their spouse (whether or not the spouse is an applicant/member) if the couple is living together or separated only for medical reasons and the spousal impoverishment provisions do not apply.
Example 2: Leo and Ann have both applied for Medicaid. Leo is in a nursing facility and Ann has an approved HCBS waiver. They are both applying for Med 1. Both Leo and Ann would have a combined $3000 resource limit.
Spousal Impoverishment rules apply in the below scenarios: • Spouse 1 is in a nursing home, spouse 2 is in the home and not on an HCBS waiver or a PACE member • Spouse 1 is on an HCBS waver or a PACE member, spouse 2 is in the home and not on an HCBS waiver or a PACE participant
Spousal Impoverishment rules do not apply in the below scenarios: • Both spouses are in a nursing home • Both spouses are on an HCBS waiver • Both spouses are PACE participants • Spouse 1 is in a nursing home and spouse 2 is on an HCBS waiver • Spouse 1 is a PACE member and spouse 2 is on an HCBS waiver • Spouse 1 is a PACE member and spouse 2 is in a nursing home
For the applicant/member who is under age 18 and living with their parents and not on an HCBS waiver, the resource limit for their parents is as follows:
• $2000 for a biological or adoptive parent who is unmarried or separated from their spouse [prior to June 1, 2014, the limit is $1,500]; • $3000 for biological or adoptive parents living together, or who are separated only for medical reasons [prior to June 1, 2014, the limit is $2,250].
*For children under 18, approved for Medicaid disability and on an HCBS waiver, parent’s income and resources are exempt in the budget. See IHCPPM 3315.00.00. The resource limits for MEDWorks (MADW, MADI) are: $2000 for an applicant/member, who is single or whose spouse qualifies as a "community spouse". 3
$3,000 for an applicant/member and their spouse (whether or not the spouse is an applicant/member if the couple is living together or separated only for medical reasons and the spousal impoverishment provisions do not apply). Parental resources are exempt for applicant/member children.