Sec. 25. (a) This section applies to an individual who:
(1) is eligible for Medicaid;
(2) resides in a nursing facility or another medical institution; and
(3) has a community spouse.
(b) An individual described in subsection (a) is entitled to retain an income allowance for the purpose of supporting a community spouse if:
(1) the community spouse's income is less than the minimum monthly needs allowance established under 42 U.S.C. 1396r-5(d)(3); and
(2) an increased amount is necessary to increase the community spouse's income to the minimum monthly needs allowance.
(c) If either spouse establishes that a higher allowance is needed due to exceptional circumstances resulting in significant financial duress, the minimum monthly needs allowance may be increased after an administrative hearing or by a court order.
(d) The office shall adopt rules under IC 4-22-2 setting forth the manner in which the office will determine the existence of exceptional circumstances resulting in significant financial duress under subsection (c).
As added by P.L.246-2005, SEC.103.
Structure Indiana Code
12-15-2-0.5. Provisions Not Limiting Health Care Assistance
12-15-2-1. "Federal Income Poverty Level"
12-15-2-2. Determination and Certification of Eligibility and Effective Date of Assistance
12-15-2-3.5. Eligibility for Aged or Disabled
12-15-2-6.5. Medicaid Buy-in Program
12-15-2-7. Individuals Eligible; Children in Families Receiving Tanf Assistance
12-15-2-10. Individuals Eligible; Long Term Care Program Participants
12-15-2-12. Individuals Eligible; Qualified Children
12-15-2-13. Pregnant Woman Eligibility; Eligibility Time Frame
12-15-2-13-b. Pregnant Woman Eligibility; Eligibility Time Frame
12-15-2-13.5. Eligibility for Women Screened and in Need of Treatment for Breast or Cervical Cancer
12-15-2-14. Minors With Limited Family Income
12-15-2-15.8. Continuous Eligibility to Three Years of Age
12-15-2-16. Eligibility of Individuals Under 18 Years of Age
12-15-2-16.2. Eligibility of Foster Children; Enrollment Assistance
12-15-2-16.5. Automatic Assignment to Medical Support and Third Party Medical Payments; Application
12-15-2-17. Exclusion of Resources in Determining Eligibility for Medicaid; Conditions
12-15-2-17.5. Income Exclusion in Determining Eligibility
12-15-2-17.7. Census Work Income Exclusion in Determining Eligibility
12-15-2-18. Financial Resources; State or Federal Higher Education Awards
12-15-2-21. Ineligibility Due to Noncompliance
12-15-2-23. Look Back; Exemption for Certain Contributions
12-15-2-23.5. Implementation of Federal Deficit Reduction Act of 2005
12-15-2-24. Eligibility; Community Spouse Resource Requirements
12-15-2-25. Eligibility; Retention of Income to Support Community Spouse