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HAPPY NEW YEAR – 2025 MEDICAID ELIGIBILITY STANDARDS

by: Begley Law Group

by Marianne Johnston, Esq.

With the new year comes changes in several of the New Jersey Medicaid eligibility standards for long-term care benefits.  What has changed?

  • Income Cap – increased to $2,901
  • Maximum Community Spouse Resource Allowance – increased to $157,920
  • Monthly Maintenance Needs Allowance
    • In Assisted Living Facility – increased to $143.65
    • At Home – increased to $2,901

What do these numbers mean?

If an applicant’s gross monthly income exceeds the $2,901 income cap, the applicant must establish a Qualified Income Trust to be eligible for benefits.

When a Medicaid applicant is married, the healthy spouse, known as the Community Spouse, is permitted to keep one-half of the couple’s countable resources subject to a maximum limit of $157,920.

The Monthly Maintenance Needs Allowances is the amount a Medicaid beneficiary is allowed to keep each month from his/her monthly income while receiving Medicaid benefits.

Contact Begley Law Group to assist you with Medicaid benefit eligibility and Asset Protection Planning.