Important Medicaid Eligibility Figures for 2018

                                   Important Medicaid Eligibility Figures for 2018

                                                      (Updated: January 7, 2018)

Monthly Income Cap (effective 1/1/18)              $2,250.00;

                                                                           Qualified Income Trust if income

                                                                            is above cap (effective 12/1/2014)

Medicaid Only Program Assets                                              $2,000.00

Community Spouse Resource Allowance (“CSRA”)

  (effective 1/1/18)

            Minimum:                                                                   $ 24,720.00

            Maximum:                                                                  $123,600.00

Old Penalty Rate: (pre 6/18/01)                                      $3,376.00/month

Old Penalty Rate: (effective 6/18/01)                             $5,540.00/month

Old Penalty Rate: (effective date 11/2003)                     $6,050.00/month

Old Penalty Rate: (effective 11/1/2004)                          $6,304.00/month

Old Penalty Rate: (effective 11/1/2005)                          $6,525.00/month

Old Penalty Rate: (effective 11/1/2006)                          $6,655.00/month

Old Penalty Rate: (effective 11/1/2007)                          $6,942.00/month

Old Penalty Rate (effective 11/1/2008)                           $7,282.00/month

Old Penalty Rate (effective 11/1/2011)                           $7,757.00/month

Old Penalty Rate (effective 11/1/2012)                           $7,787.00/month

Old Penalty Rate (effective   4/1/2014)                           $9,535.62/month

Old Penalty Rate (effective 4/1/2015)                             $10,116.28/month

Old Penalty Rate (effective 4/1/2016)                             $10,111.33/month

New Penalty Rate (effective 4/1/2017)                           $423.95/daily ($12,895.15/monthly)*

Minimum Monthly Maintenance Needs

    Allowance (“MMMNA”) (effective 7/1/17)                         $2,030.00**

Maximum Minimum Monthly Maintenance Needs

    Allowance                                                                         $3,090.00**

Excess Shelter Allowance                                                    $609.00***

Utility Amount                                                                        $501.00

Face Value of Life Insurance                                                  $1,500.00

Look Back Period for

Uncompensated/Gratuitous Transfers:                       5 years

Trusts:                                                                         5 years

NJ Programs:

  PAAD:           Single:  $27,189.00                       Couple:  $33,334.00****
  Senior Gold:  Single:  $27,189.00-$37,189.00    Couple:  $33,334.00-$43,334.00****

Home equity (2018):  Minimum: $572,000.00; Maximum: $858,000.00

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*       Applicable penalty rate is determined at date of application – thus it may change.  The monthly rate is as reflected above. Current daily rate (effective 4/1/2017) is $423.95/day.

**    Figure changes each July based on U.S. poverty numbers (150% of monthly federal income poverty rate for a family of 2). Next expected change: July 1, 2018.

***   Excess shelter allowance limited to rent, mortgage (including principal and interest), taxes, and insurance, and a utility standard for the utility expenses and maintenance charges for a condominium or co-op.

****  PAAD and New Jersey Gold eligibility income criteria change annually.  These figures are for 2018.  Toll-free PAAD Hotline 1-800-792-9745.