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Chapter 13. Medicaid > Consideration of Income

Consideration of Income

To qualify for Medicaid payments, your income minus certain allowable deductions must be paid to the nursing home to contribute to the cost of your care. The state, however, allows nursing home residents to keep a specific amount of their monthly income as a “personal needs allowance.” This amount varies from state to state. In addition, deductions from the amount that would otherwise go to the nursing home are allowed for payment of medical insurance premiums, uncovered medical costs and an amount, if necessary, to supplement the income of the community spouse if there is one. Some states, known as “income cap states,” limit the amount of income that a person can have and still be eligible for Medicaid. In 2003, for example, that monthly amount is $1,656. However, people with income in excess of this amount may still qualify for Medicaid through the use of trusts that ensure the state will get any excess income.


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