Pennsylvania Medicaid Long-Term Care Numbers and Fact Sheet

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Pennsylvania Medical Assistance (Medicaid) Long-Term Care Numbers and Fact Sheet

According to the Pennsylvania Department of Aging, there are over 2,400,000 Pennsylvania residents over age 60.  More than 240,000 Pennsylvania residents are over age 85.  Out of the fifty states, Pennsylvania has the third highest percentage of elderly residents.   One in five older Pennsylvanians live in or near poverty.   The Deficit Reduction Act (DRA) has been implemented in Pennsylvania.  Here are “Pennsylvania’s Medicaid Numbers” Stay tuned for additional updates…

Personal Needs Allowance $45 per month
MNO-MA Resource Limit $2,400
NMP-MA and PDA Waiver Resource Limit $2,000, plus a $6,000 asset disregard, effectively “$8,000”
NMP-MA and PDA Waiver Program Income Limit $2,382 effective January 1, 2021
Home Maintenance Allowance $816.10 per month (six month limit) since January 1, 2021.
Minimum Community Spouse Resource Allowance $26,076 effective January 1, 2021
Maximum Community Spouse Resource Allowance $130,380 effective January 1, 2021
Minimum Monthly Maintenance Needs Allowance $2,155 per month, effective July 1, 2020
Maximum Monthly Maintenance Needs Allowance $3,259.50 per month, effective January 1, 2021
Excess Shelter Standard $647 per month, effective since July 1, 2020
Utility Allowances
Utility Allowance, including heat $594 per month, effective since October 1, 2020
Utility Allowance, non-heating $308 per month, effective since October 1, 2020
Utility Allowance, phone only $33  per month, effective since October 1, 2020
Medicare SNF Co-insurance amount $185.50/day since January 1, 2021
Average Cost of PA Nursing Facility Care (Pennsylvania Medicaid Penalty Divisor) $11,099.04 effective January 1, 2021. ($364.90/day)

Excess Home Equity Limit for 2021 is $603,000.

 

 

 


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