Every year, the amounts used in Medi-Cal calculations are updated to determining: Qualification, Re-Qualification, Community Spousal Resource Allowance, Recover and other factors. For the Year 2017, here are the Numbers we are working with.
- Divestment Penalty Divisor $8,189.00
- Individual Resource Allowance $2,000.00
- Monthly Personal Needs Allowance $35.00
- Community Spouse Resource Allowance $120,900.00
- Monthly Maintenance Needs Allowance $3,023.00
- Resource Allowance for a Couple
- (Husband and Wife both in facility) $2,000.00/each
Explanation of “the Numbers”
Divestment Penalty Divisor – The amount that, if given away would cause One Month of Disqualification for Medi-Cal Benefits.If a gift is given, the amountof the gift is divided by the Divisor for that year, and as many times as the Divisor will go into that gift is the number of months that Medi-Cal will not pay benefits.
Individual Resource Allowance – The amount of cash and Non-Exempt assets the Institutionalized Spouse may retain and still qualify for Medi-Cal Benefits.
Monthly Personal Needs Allowance– The amount on Income each month that the Institutionalized Spouse may retain which need not be used as part of their share of cost.
Community Spouse Resource Allowance – The amount of Assets, including cash, that the Well Spouse may retain and still have the Institutionalized Spouse qualify for Medi-Cal Benefits.
Monthly Maintenance Needs Allowance– That portion of both spouse’s income that may be retained by the Well Spouse, for his or her monthly needs, which need not be used as part of their share of cost.
Resource Allowance for a Couple – The amount on Income each month that both the Well and Institutionalized Spouse may retain which need not be used as part of their share of cost. (Where both Husband and Wife are in facility)