Eligibility for Community Spouse 510-05-65-40

(Revised 2/04 ML #2900)

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A community spouse who needs assistance with medical costs for a past month, in which he or she was a community spouse, can request Medicaid. Eligibility can be determined for the month(s) for which assistance is needed. Current ongoing eligibility for the spouse in the community, however, does not allow that person to be considered a community spouse for purposes of the spousal impoverishment provisions.

For any month for which the community spouse requests eligibility, the couple must be within the medically needy asset limit , must meet all other eligibility criteria, and income deemed from the institutionalized or HCBS spouse is considered to be the community spouse’s income.