and Community Based Waiver Programs:
Individuals Aged 65 and Older
Utah Medicaid Waiver program assists clients who are at
least 65 years old and would be medically appropriate for
institutional care to remain in their own home, instead
of being placed in an institution. These clients are
eligible for medical services that are not generally available
to Medicaid recipients, such as day treatment programs,
lifeline, and in-home respite care. Policy follows the institutional
policy except that the client is allowed higher income deductions.
The income standard, after allowable deductions, is 100%
of the Federal Poverty Level, which is typically adjusted
annually. (The Federal Poverty Level is available
on the Internet at http://aspe.hhs.gov/poverty).
All of the client's income counts.
Eligibility Limits in Monthly Amounts
(as of April 2005)
Household Size *Monthly Income
. . . . . . . . . . . $
Income is gross income minus exemptions, allowable disregards,
deductions, and earned income expenses. The disregards and
deductions are different for each Medicaid program. This
means that the “countable income” to decide
eligibility for one program will be different than the “countable
income” used to decide eligibility for another program.
For this program, deduct $125 earned income, spousal and
family allowance, health and accident insurance premiums,
medical expenses, some shelter costs.
Medicaid applicants whose income exceeds the monthly income
standard may be considered for the Medically Needy program,
sometimes referred to as the Spenddown Program. This
program allows a person who is otherwise eligible either
to pay "excess" monthly income to the state or
to accept responsibility for a portion of their monthly
home client - $2,000.00
married persons with a spouse in the home, assets are divided
between husband and wife. All assets are considered
to be jointly owned even if only one member of the couple
is shown as the owner. Special allowances for burial spaces
and funeral plans. The spouse at home is allowed to
keep at least $18,132 of the assets the couple owned when
the client entered the Nursing home, and no more than $90,660,
as of January 2003. (These amounts are adjusted upwards
apply if either (1) individual or spouse transfers assets
within 36 months, or within 60 months if a trust, of application
date for Medicaid, or (2) the individual transfers assets
at any time after eligibility is determined. Waiver services
are not paid during a sanction period.