Provider Notice Issued 01/02/2019

Date: December 31, 2018
 
To:  Long Term Care and Supportive Living Program Providers
 
Re: Prevention of Spousal Impoverishment Standards for 2019
 
__________________________________________________________________________________
 
This notice informs providers that the standards for the prevention of spousal impoverishment effective January 1, 2019 will remain the same as those in 2018.
 
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.
 
Questions regarding this notice may be directed to the Bureau of Long Term Care at 1-844-528-8444.
 
                                                            
 
Teresa T. Hursey
Medicaid Director   

Notices

 

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