2021 Medicaid ICP Financial Guidelines
Institutionalized Individual's Income Limit
Individual: $2,382*
*This represents the GROSS Income Limit
Medicare Part B Premium: $148.50*
*See Social Security income verification letter
Individual: $2,000
Couple: $3,000
Community Spouse: $130,380
Excluded Assets:
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Principal Residence*
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One Car
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Personal Effects
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Term Life Insurance
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Certain Whole Life Policies
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Burial Accounts
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Irrevocable Burial Contracts
*with an equity value less than $603,000
Community Spouse Income Diversion
Minimum Monthly Maintenance Income Allowance: $2,155
Maximum Monthly Maintenance Income Allowance: $3,260
Excess Shelter Deduction: $647
Standard Utility Allowance: $370