This section describes the how spousal impoverishment protections apply to a married person who applies for MAC or TSOA. The combined income and resources of their marital unit after separation may sometimes be presumed to apply towards an individual spouse's Medicaid financial.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 article and video explain spousal maintenance (alimony) in Washington State. They also explain undifferentiated family support. Help you read and fill out all requested forms. Health insurance costs for self-employed people; Spousal support and alimony paid (not child support). Fill out legal documents online for free. It's simple: we ask you questions and use your answers to complete the documents you need. Appointments are needed to meet with Domestic Relations staff.