Provider Notice Issued 12/16/2016

Prevention of Spousal Impoverishment Standards for 2017

TO: ​Providers of Long Term Care
​DATE: ​December 16, 2016
​RE: Prevention of Spousal Impoverishment Standards for 2017

 


This Notice informs providers that the standards for the prevention of spousal impoverishment effective January 1, 2017 will remain the same as those in 2016.

 

The term “spousal impoverishment” includes the standards for the Community Spouse Resource Allowance (CSRA) and the Community Spouse Maintenance Needs Allowance (CSMNA). The prevention of spousal impoverishment standards should be included in the oral and written information that must be provided to residents and potential residents about how to apply for and use Medicaid benefits. Facilities are required by federal regulations (42 CFR 483.10) and state statute (210 ILCS 45/2-211) to give an explanation of resident rights at the time of admission and at least annually thereafter.

The CSRA standard will remain $109,560. This is the maximum amount of resources a resident may transfer to a community spouse or to another for the sole benefit of a community spouse. The actual amount a resident may transfer is determined by deducting non‑exempt resources of the community spouse from the standard of $109,560.

The CSMNA standard will remain $2,739. This is the maximum amount of monthly income a resident may give to a community spouse. The actual amount a resident may give is determined by deducting any gross income of the community spouse from the standard of $2,739.

Facilities may print brochure, HFS 3191, Nursing Home Services and Information for Couples, which gives additional information relating to the prevention of spousal impoverishment. 

If you have any questions concerning this notice, contact the Bureau of Long Term Care at 1-844-528-8444.

 

 

Felicia F. Norwood

Director


Notices

 

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