To figure the amount of the Community Spouse Maintenance Needs Allowance (CSMNA), subtract the spouse's gross income from the maintenance needs standard. Describes financial rules for couples when one person receives Medicaid and is in a nursing home.Simply contact your local FCRC or if you live in Chicago you can call Medical Field Operations at 312-793-8000. For help filling it out or for translation services, contact your DHS Family. Community Resource Center. Under the Medicaid spousal impoverishment provisions, a certain amount of the couple's combined resources is protected for the spouse living in the community. Illinois Legal Aid Online provides a guided interview called an Easy Form that will help you fill out the forms. This includes money earned from a job or any child or spousal support you get. DO NOT fill out the rest of this form unless the judge tells you complete it. The Remittance ID for the county in which the support order was entered (these are available on the instructions for completing the.