State Standards and Limits


Income Cap State: If the state is a Cap State, then an Income Cap or Miller Trust will be required if the patientís income exceeds the current Federal income cap ($2,022 in 2009 and 2010).

DRA Cutoff Date: Transfers of assets prior to this date will be treated according to the pre-DRA (Deficit Reduction Act) rules. Transfers on or after this date will be treated according to DRA rules.

Private Pay Factor/Divisor: The average monthly cost of a nursing home in the particular state and/or region, used to calculate a period of disqualification for the uncompensated transfer of assets.

Patient Resource Allowance: Maximum of countable resources allowed for the patient.

Community Spouse Resource Allowance (CSRA): The amount of countable resources protected for the Community Spouse. If the minimum and maximum are the same number, then the state is a 100 percent state, otherwise a 50 percent state.

Monthly Maintenance Needs Allowance: The Minimum Monthly Maintenance Needs Allowance (MMMNA) is the minimum amount of combined income (patient and spouse) that is normally protected for the Community Spouse, which can be increased (based on excess housing expenses) up to the Maximum Monthly Maintenance Needs Allowance. The Community Spouseís individual income is always protected, regardless of amount, even if it exceeds the Maximum Monthly Maintenance Needs Allowance.

Links to State Administrative Rules:

AL Alabama
AK Alaska
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC Dist of Columbia
FL Florida
GA Georgia
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
OH Ohio
OK Oklahoma
OR Oregon
PA Pennsylvania
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming

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