Pennsylvania Medicaid Long-Term Care Numbers and Fact Sheet 2023

2023 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$2,742 effective January 1, 2023
Home Maintenance Allowance$936.10 per month (six month limit) since January 1, 2023.
Minimum Community Spouse Resource Allowance$29,724 effective January 1, 2023
Maximum Community Spouse Resource Allowance$148,620 effective January 1, 2023
Minimum Monthly Maintenance Needs Allowance$2,289 per month, effective July 1, 2022
Maximum Monthly Maintenance Needs Allowance$3,715.50 per month, effective January 1, 2023
Excess Shelter Standard$687 per month, effective since July 1, 2022
Utility Allowances
Utility Allowance, including heat$681 per month, effective since October 1, 2022
Utility Allowance, non-heating$358 per month, effective since October 1, 2022
Utility Allowance, phone only$34  per month, effective since October 1, 2022
Medicare SNF Co-insurance amount$200.00/day since January 1, 2023
Average Cost of PA Nursing Facility Care (Pennsylvania Medicaid Penalty Divisor)$12,869.59 effective January 1, 2023. ($423.11/day)

Excess Home Equity Limit for 2023 is $688,000.




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