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Effective: December 1, 2006 |
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19.05ar1 - Asset Limits (Archive) |
Archived: February 1, 2009 |
All health care programs have an asset limit. Each program has a maximum amount of property a client can own and still be eligible for assistance. The asset limit varies for each program. For a printable chart summarizing the asset limits for each program, see Asset Limit Chart.
Some people may meet an exemption from asset limits. See Exemptions from Asset Limits for more information.
General Provisions for All Health Care Programs.
MinnesotaCare (MCRE), GHO, RMA, and MA Method A.
MA Method B and Waiver Programs.
General Provisions for All Health Care Programs
Do not deem children’s assets toward the total assets of an adult.
MinnesotaCare, GHO, RMA, and MA Method A
The asset limit for these programs is established based on household size, including children, pregnant women and people who are not requesting coverage. Apply asset deeming rules to determine whose assets count for a person.
The asset limits are:
|
Household Size |
|
|
One |
Two or more |
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$10,000 |
$20,000 |
Example:
Gretchen, who is 35 years old and not pregnant, applies for MCRE. She lives with her daughter Jill (age 10) who is an MA enrollee.
Action:
Gretchen has a household size of two and an asset limit of $20,000. Jill is exempt from an asset limit because she is under 21 years old.
MA Method B and Waiver Programs
The asset limit for these programs is established based on household size, including children, pregnant women and people who are not requesting coverage. Apply asset deeming rules to determine whose assets count for a person.
Note: A spouse’s or parent’s assets are not counted if the client is a household of one due to receipt of waivered services.
The asset limits are:
|
Household Size |
||
|
One |
Two |
Add this amount for each additional household member |
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$3000 |
$6000 |
$200 |
Example:
Nanette and Enrique are married and are both applying for health care. Their son, Donald (age 12) lives with them but is not applying for health care. Nanette is pregnant. Enrique receives RSDI disability benefits and does not receive waivered services.
Action:
Enrique has a household size of four; himself, Nanette, their unborn child and Donald. Enrique may choose to use MA Method A due to his parent status, or he may choose MA Method B due to his disability status. His asset limit for MA Method B is $6200 and his asset limit for MA Method A is $20,000.
Nanette is exempt from an asset limit because she is pregnant. Her assets will be used to determine if Enrique is under his asset limit for MA Method B and MA Method A.
Example:
Herman (age 72) lives with his wife. He receives CADI services. He is a household of one for MA purposes, and has a $3000 asset limit.
Action:
Herman’s wife’s assets are not used in determining if Herman is under the MA asset limit.
The asset limit is established based on household size, including children, pregnant women and people who are not requesting coverage.
The asset limits are:
|
Household Size |
|
|
One |
Two or more |
|
$4000 |
$6000 |
The asset limit is established based on household size, including children, pregnant women and people who are not requesting coverage.
Note: A spouse’s or parent’s assets are counted for QMB, SLMB and QI eligibility even if the client is receiving waivered services.
The asset limits are:
|
Household Size |
|
|
One |
Two or more |
|
$10,000 |
$18,000 |
Example:
Herman lives with his wife. He receives CADI services.
Action:
Herman is a household of two for QMB, SLMB and QI purposes, and he has an asset limit of $18,000 for these programs. Herman’s wife’s assets are used in determining if Herman is under the QMB, SLMB and/or QI asset limits.
The asset limit for MA-EPD is $20,000 regardless of household size.
l Count only the MA-EPD client’s assets.
l Do not count spousal assets, or spouse’s half of jointly owned assets.
l When an MA-EPD enrollee stops working for any reason, continue to apply the MA-EPD asset rules and the $20,000 limit when determining regular MA eligibility for up to 12 months after the person loses MA-EPD status. Begin counting the 12 month period from the month after the month MA-EPD ended.
Example:
Gertie (age 60), and her husband, Buster (age 80), are applying for health care. Gertie is eligible for MA-EPD and Buster is eligible for MA using the over age 65 basis of eligibility.
Action:
Gertie has an asset limit of $20,000. Do not count Buster’s assets when determining if Gertie’s asset value is under the MA-EPD asset limit.
Buster’s asset limit is $6,000 because he is in a household of two and using MA Method B for his asset calculation. Gertie’s assets will be used in determining if Buster is under the MA Method B asset limit.
Example:
Dave is currently an MA-EPD enrollee. His wife, Heloise, has not applied for or enrolled in any health care programs. Dave’s worker determines that his total countable assets are $16,000.
Action:
While on MA-EPD Dave has an asset limit of $20,000. Dave is below the MA-EPD asset limit because his wife’s assets are not counted when determining his asset value.
Dave’s employment ends May 2nd and he receives his last paycheck May 8th. He is no longer eligible for MA-EPD as of June 1st.
Action:
Dave now has an MA Method B disabled basis of eligibility which has an asset limit of $6,000 for a household size of two. If the $6,000 asset limit is applied, Dave is not eligible because his assets of $16,000 are over the limit, and his wife’s assets haven’t even been counted yet. However, because Dave was an MA-EPD enrollee he will continue to use the MA-EPD asset limit of $20,000 through the following May and Heloise’s assets will not be counted in his asset total.
The asset limit for GAMC is $1000 per household regardless of household size.
Reminder: GHO follows MCRE/MA Method A asset limits.
Example:
Rhonda (age 40) lives with her husband Steve (age 32) and her two minor children. Steve has other health insurance coverage through his employer. They are all applying for health care.
Action:
The minor children do not have an asset limit because they are under 21 years old.
Rhonda and Steve’s assets will both be used in determining if each of their asset values is below the asset limit for their particular health care program.
l Rhonda has an MA Method A basis of eligibility as the parent of two minor children in her household. She has an asset limit of $20,000 because she has a household size of four.
l Steve does not have a basis of eligibility for MA and because he has other health insurance is not eligible for MCRE. His asset limit, for GAMC, is $1,000.