The non-applicant spouse, however, may be entitled to a Monthly Maintenance Needs Allowance (MMNA) from their applicant spouse to prevent spousal impoverishment. Specific to IL, this Spousal Income Allowance, is called a Community Spouse Maintenance Needs Allowance (CSMNA). In 2025, the CSMNA is $3,948 / month.
The Medicaid recipient in the nursing home can keep non-exempt assets totaling $2,000. The spouse who continues to live in the community can keep non-exempt assets, up to $129,084, as of January 1, 2024. This is called the Community Spouse Resource Allowance (CSRA).
Income Definition & Exceptions This includes employment wages, alimony payments, pension payments, Social Security Disability Income, Social Security Income, IRA withdrawals, and stock dividends. Nationally, Holocaust restitution payments are not counted as income.
The Community Spouse Resource Allowance (CSRA) is $109,560 and the Minimum Monthly Maintenance Needs Allowance (MMMNA) is $2,739.
Monthly Maintenance Needs Allowance (MMNA) The MMNA ensures that the healthy spouse who continues to live in the couple's home maintains a certain amount of monthly income while their partner receives their Medicaid long-term care coverage. (Learn more about the ins and outs of MMNA.)
Some income that Medicaid used to consider part of household income is no longer counted, such as child support received, veterans' benefits, workers' compensation, gifts and inheritances, and Temporary Assistance for Needy Families (TANF) and SSI payments.
Like child support, spousal maintenance isn't considered taxable income. The revised tax laws remove the responsible party's previous tax break.