Texas 2022 Medicaid Income and Resource Limits

Texas 2022 SINGLE Medicaid Income and Resource Limits

  1. Single, in the nursing home applying for Texas Medicaid.
    • Texas Medicaid Income Limit -
      • $2.523
    • Texas Medicaid Resource Limit -
      • $2,000
  2. Single, at home, applying for Texas Community Care.
    • Texas Medicaid Income Limit -
      • $2,523 (QIT not available)
    • Texas Medicaid Resource Limit -
      • $2,000 ($5,000 for Family Care)
  3. Single, at home, applying for HCBS Waiver
    • Texas Medicaid Income Limit -
      • $5,046 combined income (QIT not available, but either spouse can have more than $2,523 if the total does not exceed $2,523)
    • Texas Medicaid Resource Limit -
      • $3,000 combined ($6,000 for Family Care)

Texas 2022 Medicaid MARRIED Income and Resource Limits

One Spouse Applies:

  1. Both spouses in a nursing home, only one applies for Medicaid
    • Texas Medicaid Income Limit -
      • $2,523 (income of non-applicant spouse not counted)
    • Texas Medicaid Resource Limit -
      • $2,000 (resources of non-applicant spouse not counted)
  2. One spouse in a nursing home, one at home not applying for any Medicaid program
    • Texas Medicaid Income Limit
      • $2,523 for the applicant; QIT available; spousal diversion available (meaning income can be diverted to the spouse to allow the applicant to qualify)
    • Texas Medicaid Resource Limit -
      • Spousal impoverishment rules, including Spousal Protected Resource Amount, determine initial eligibility; personal needs allowance in expanded Spousal Protected Resource Amount formula is $60; $2,000 limit on institutionalized spouse resources at first annual review
  3. Both spouses at home, one applies for Community Care
    • Texas Medicaid Income Limit -
      • $2,523 for applicant AND $5,046 total (after applying deductions for children’s living allowance and about half of earned income); QIT not available
    • Texas Medicaid Resource Limit -
      • $3,000 combined ($6,000 for Family Care)
    • Both spouses at home, one applies for HCBS Waiver
      • Texas Medicaid Income Limit -
        • $2,523 for the applicant; QIT available; spousal diversion available
      • Texas Medicaid Resource Limit -
        • Spousal impoverishment rules including Spousal Protected Resource Amount determine initial eligibility; personal needs allowance in expanded Spousal Protected Resource Amount formula is $2,349; $2,000 limit on institutionalized spouse resources at first annual review.

    Both Spouses Apply:

    1. Both spouses at a nursing home, both apply for Medicaid
      • Texas Medicaid Income Limit
        • $2,523 for each; QIT available & needed if the income of either exceeds $2,349
      • Texas Medicaid Resource Limit
        • $3,000 combined
    2. One spouse in a nursing home, one at home applying for HCBS Waiver
      • Texas Medicaid Income Limit -
        • $2,523 for each spouse; QIT is available to each; spouse at home can get diversion to bring his/her income up to $2,523
      • Texas Medicaid Resource Limit -
        • $3,000 combined
    3. Both spouses at home, both apply for Community Care
      • Texas Medicaid Income Limit -
        • $5,046 combined income (QIT not available, but either spouse can have more than $2,523 if the total does not exceed $2,523)
      • Texas Medicaid Resource Limit -
        • $3,000 combined ($6,000 for Family Care)
    4. Both spouses at home, both apply for HCBS Waiver
      • Texas Medicaid Income Limit - 
        • $2,523 for each spouse; QIT available to each
      • Texas Medicaid Resource Limit - 
        • $3,000 combined

    Texas 2022 Medicaid MARRIED BUT SEPARATED Income and Resource Limits

    1. Spouses separated without intent to evade deeming of resources for Medicaid purposes (treated as if applicant spouse was unmarried under MEPD HB J-1410-1420)
      • Texas Medicaid Income Limit -
        • $2.523
      • Texas Medicaid Resource Limit -
        • $2,000
    2. Spouse of applicant refuses to provide information and applicant assigns the right of support (treated as if applicant spouse was unmarried under MEPD HB J-1410-1420)
      • Texas Medicaid Income Limit -
        • $2.523
      • Texas Medicaid Resource Limit -
        • $2,000
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