utah medicaid income limits 2020 chart

utah medicaid income limits 2020 chart


This can be done by paying excess income to the state of Utah or paying a provider for medical services / goods.

Prior to submitting an application for Medicaid benefits in Utah, seniors need be certain that all eligibility requirements (as discussed above) for the program in which they are applying are met. This program also allows for self-direction of care services. Exemptions include personal belongings, such as clothing, household furnishings and appliances, an automobile, a burial plot, irrevocable funeral trusts, and life insurance with a combined face value up to $1,500. By working with a Medicaid planning professional, families can employ a variety of strategies to help them become Medicaid eligible. In addition to transitional services, other benefits include durable medical equipment, assistive technology, respite care, and personal emergency response systems. Medicaid-funded nursing home beneficiaries are entitled to only a personal needs allowance of approximately $45 / month, and if applicable, pay a monthly income allowance to a non-applicant spouse. In order to apply for Medicaid in Utah, senior residents can do so online at myCase, download and submit a completed paper application (applications are found half way down the webpage), or apply in person at their local Department of Workforce Services (DWS) office. Other benefits include adult day care, homemaker services, meal delivery, home modifications and more. It is vital that one does not give away assets or sell them for less than fair market value in an attempt to meet Medicaid’s asset limit. Make note, the Medically Needy Pathway does not assist one in spending down extra assets for Medicaid qualification. 1) Institutional / Nursing Home Medicaid – this is an entitlement program for assistance only in nursing home facilities.


3) Regular Medicaid / Aged and Disabled – this is an entitlement program for assistance at home or adult day care. 2) Medicaid Waivers / Home and Community Based Services (HCBS) – with these programs, there are participant caps for enrollment. So adults age 19-64 with household incomes up to 138% of the poverty level are now eligible for Medicaid in Utah… However, one can “spend down” assets by spending excess assets on non-countable ones.

SSI for Single living alone: $783.00 (No State Supplement)            SSI for Single receiving In-Kind Support: When spending down assets, it’s important that one does not give away assets or sell them for less than their value.

Use of this content by websites or commercial organizations without written permission is prohibited. However, this is not the case when one spouse of a married couple applies for regular Medicaid. Read more or connect with a Medicaid planner. The monthly income limit for individuals who are blind or disabled, and who work at least a few hours each month, is 250% FPL. 2) Utah Aging Waiver for Individuals Age 65 or Older – also referred to as the Aging Waiver, this home and community based services Medicaid waiver allows program participants to hire the caregiver of their choosing, including some relatives.
The table below provides a quick reference to allow seniors to determine if they might be immediately eligible for long term care from an Utah Medicaid program.

(This figure will increase in January 2021.) This is referred to as the Community Spouse Resource Allowance (CSRA) and is intended to ensure the non-applicant spouse has sufficient funds from which to live. File Threshold, Earned:

(The amount of the home’s value owned by the applicant is his or her equity interest in the home).

Said another way, if one meets the income requirements for Medicaid eligibility, but not the asset requirement, the above program cannot assist one in eliminating extra assets. For questions or assistance, seniors can also contact DWS at 866-435-7414. In simple terms, one may still qualify for Medicaid services by “spending down” their income to the Medicaid income limit. Being over the income and / or asset limit(s), or being uncertain if eligibility criteria are met, can result in a denial of benefits.

Income includes the following: wages that you and your spouse earn, child support, alimony, Social Security, etc.

$12,200             Unearned: $1,100              Qualifying Relative Limit: $4,200, Single:  $281            Couple:  $411.66. These programs have slightly different financial and medical (functional) eligibility requirements, as well as varying benefits. MedicaidPlanningAssistance.org is a free service provided by the American Council on Aging, What is the Medicaid Estate Recovery Program, Minimum Monthly Maintenance Needs Allowance, 2020 Utah Medicaid Long Term Care Eligibility for Seniors, No income limit. Persons might also find their local Area Agency on Aging office helpful.

By using our website, you agree to our terms of use and privacy policy. (To locate your local office, click here).

There are several different Medicaid long-term care programs for which Utah seniors may be eligible.

The MMMNA is intended to ensure non-applicant spouses do not become impoverished. Each spouse’s monthly income determines how much each spouse must pay towards the cost of care. This may include paying unpaid medical bills, prescription drugs, private health insurance, and medical expenses that Medicaid does not cover. When just one spouse of a married couple is applying for nursing home Medicaid or a HCBS Medicaid waiver, only the income of the applicant is counted. In this situation, the income of both the applicant spouse and the non-applicant spouse is counted towards eligibility.

Copyright © 2020 All rights reserved. If one is found to be in violation of the look-back period, one will be penalized with a period of Medicaid ineligibility. Medicaid is a wide-ranging health insurance program for low-income individuals of all ages. (SSI) Information, Full

In Utah, the agency that administers the Medicaid program is the Utah Department of Health. *While there is no income limit for nursing home Medicaid, as indicated in the chart above, a beneficiary must pay nearly all of his or her monthly income to the nursing home.

Eligibility is determined by the Department of Workforce Services (DWS).

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