The following are required to file your petition: ! A support petition is a form that tells both your husband (the respondent) and the Judge what you (the petitioner) want.Child Support Forms ; 4-9a. A New York Medicaid planning lawyer explains how you could legally refuse to pay for a spouse's long-term costs while maintaining benefit eligibility. Since the nonapplicant spouse has refused to "support" their spouse, this form assigns the right to support to the state. In this situation, the LDSS must not ask the applicant to complete the. Financial Maintenance form (DOH-4443) or a district-specific. Under the Medicaid spousal impoverishment provisions, a certain amount of the couple's combined resources is protected for the spouse living in the community. This brief outlines the Medicaid rules that affect community spouses of nursing home residents and widows or widowers of deceased nursing home residents. I do not wish to apply for child support services.