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Key Medicaid Figures for Pennsylvania for 2011

Protections for the Community Spouse

Community Spouse Resource Allowance (CSRA):

Minimum: $21,912
Maximum: $109,560

Increased CSRA:

Permitted. Pennsylavania does not follow the income-first rule.

Annuities:

See note below*

Monthly Maintenance Needs Allowance:

Minimum: $1,821.25
Maximum: $2,739

For explanation, click here.

Note: Institutionalized Medicaid recipients in Pennsylvania with monthly income below $1,809 may now retain $8,000 in total resources; otherwise, the figure is $2,000.

Transfers

Average monthly cost of nursing home care according to state:

$7,514.74

For explanation, click here.

Has a Long-Term Care Partnership program been implemented?

Yes

For explanation, click here.
Income

Is the state an "income cap" state?

No

For explanation, click here.
Estate Recovery

Has the state expanded the definition of "estate" beyond the probate estate?

Yes

Has the state included a hardship provision in its estate recovery plan?

Yes

For explanation, click here.
Home Equity Limit

The state Medicaid program will not cover long-term care services for those with home equity above this limit, with certain exceptions.

$506,000

For explanation, click here.



The following information was kindly provided by four Pennsylvania members of our network of qualified elder law attorneys: William R. Blumer, with the firm of Leisawitz Heller Abramowitch Phillips, P.C., in Wyomissing, PA, Jeffrey A. Marshall, Marshall and Associates, in Williamsport, PA and Robert Slutsky, with Robert Slutsky Associates in Blue Bell, PA, .

*Note on annuities:"There is split authority on the effect of a purchase of an actuarially sound annuity in Pennsylvania. A state appeals court has held that the purchase of an actuarially sound annuity by a community spouse may result in a transfer penalty. A federal district court has held exactly the opposite. The state Medicaid agency's office of legal counsel reviews all annuity purchases that fall within the lookback period. It is not clear what criteria they are using in their evaluation - it appears to be subjective."--Marshall