Protections for the Community Spouse

Community Spouse Resource Allowance (CSRA):

Minimum: $25,728
Maximum: $128,640

Increased CSRA:

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

Annuities:

See note above*

Monthly Maintenance Needs Allowance:

Minimum: $2,113.75
Maximum: $3,216

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• Medicaid Protections for the Healthy Spouse

Transfers

Figure used to calculate transfer penalties:

$10,420.14 ($342.58 per day)

Has a Long-Term Care Partnership program been implemented?

Yes

Learn More

• Medicaid's Asset Transfer Rules
• Long-Term Care Insurance Partnership Policies

Assets

Are IRAs and other retirement plans protected (noncountable)?

No

State's resource limit for Medicaid recipients:

$2,400

Learn More

• Can an IRA Affect Medicaid Eligibility?
• Medicaid's Asset Rules

Income

Is the state an "income cap" state?

No

Monthly personal needs allowance for nursing home residents:

$45

Learn More

• What Is the Medicaid Income Cap?
• How Does Medicaid Treat Income?

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

Learn More

• Medicaid's Power to Recoup Benefits Paid: Estate Recovery and Liens

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.

$595,000

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