Date: February 1, 2023
To: Long Term Care Facilities - Nursing Facilities (NF), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Supportive Living Program (SLP), Medically Complex for the Developmentally Disabled Facilities (MC/DD) and Specialized Mental Health Rehabilitation Facilities (SMHRF)
Re: Prevention of Spousal Impoverishment Standards for 2023
This notice informs Long Term Care providers that the standards for the prevention of spousal impoverishment effective January 1, 2023, are changing.
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 change from $109,560.00 to $120,780.00. 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 $120,780.00.
The CSMNA standard will change from $2,739.00 to $3,715.50. 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 $3,715.50.
Facilities may print brochure HFS 3191, Nursing Home Services and Information for Couples, which gives additional information relating to the prevention of spousal impoverishment.
If you have questions, contact the Bureau of Long Term Care toll free at 844-528-8444.
Kelly Cunningham, Administrator
Division of Medical Programs