Date: January 15, 2021
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 $109,560.00. 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 $109,560.00.
The CSMNA standard will remain $2,739.00. 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 $2,739.00.
Facilities may print brochure, HFS 3191, Nursing Home Services and Information for Couples, which gives additional information relating to the prevention of spousal
If you have questions, contact
the Bureau of Long Term Care toll free at 844-528-8444