Missouri spend down brochure 2025

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Exempt assets are those which Medicaid will not take into account (at least for the time being). In general, the following are the primary exempt assets: Home, no matter what its value. The home must be the principal place of residence.
A Medicaid Asset Protection Trust (MAPT) is one option a person may consider to protect their assets from Medicaid and nursing homes or long-term care. A MAPT is an irrevocable trust created during your lifetime.
Benefit Program Income Limits Program15 Program MO HealthNet for Expansion Adults 1 $20,030 5 $48,651 Program MO HealthNet for Families 1 $1,692 5 $4,800 Program MO HealthNet for the Aged and Disabled 1 $12,801 5 $31,093 Program MO HealthNet for the Blind 1 $15,060 5 $36,58010 more rows
Applicants can legally reduce countable assets by spending them on qualified expenses before applying for Medicaid. Allowable expenses include home repairs, medical costs, prepaid funeral arrangements and paying off debts. Since these are not considered gifts, they do not trigger a lookback penalty.
In 2025, a single Nursing Home Medicaid applicant in Missouri must meet the following criteria: 1) All available income, with just a few exceptions, must go to the nursing home 2) Assets under $5,909.25 3) Require a Nursing Home Level of Care.
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In MO, IRAs / 401Ks are counted. There are also many assets that Medicaid considers to be exempt (non-countable). Exemptions generally include personal belongings, household furnishings, an automobile, ones primary home, and irrevocable pre-need burial contracts established with a funeral home.
The amount youre looking to spend down is the amount of income that is over the Medicaid limit. This amount will be different for each person and is calculated as the difference between the individuals monthly net income and the Medicaid eligibility limits.
The consumer may pay online or send a payment (check, money order, or cashiers check) to the MO HealthNet Division. The consumer will have coverage for the whole month that they pay for. You must put your MO HealthNet number (case number) on the check or money order.

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