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COMMUNITY SPOUSE RESOURCE ALLOWANCE (CSRA) The amount of this CSRA is 50% of the combined assets. This 50% cannot exceed $126,420 but there is also a minimum allowance of $25,282. See Ohio Medicaid Figures page for current amounts.
Spousal refusal is a legally valid Medicaid planning option in just two states: New York and Florida. By way of background, certain income and assets are exempt from Medicaid if there is a spouse.
Under Ohio law, spouses have a duty to provide life necessities, including medical care, to the other spouse. To implement a Spousal Refusal, the community spouse will refuse to use his or her assets to pay for medical care for the institutionalized spouse (the spouse seeking Medicaid eligibility).
Spousal refusal is a legally valid Medicaid planning option in just two states: New York and Florida. By way of background, certain income and assets are exempt from Medicaid if there is a spouse.
3 There is no spousal refusal in New Jersey. The income of the commu- nity spouse is not considered in determining the institutionalized spouse's Medicaid eligibility.
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In general, the community spouse may keep one-half of the couple's total "countable" assets up to a maximum of $137,400 (in 2022). Called the "community spouse resource allowance," this is the most that a state may allow a community spouse to retain without a hearing or a court order.
Ohio Medicaid regulations allow the community spouse to receive a minimum amount of income each month. This number is adjusted every July for inflation. As of July 2017, a community spouse is entitled to at least $2,030 in income each month. This is known as the Minimum Monthly Maintenance Needs Allowance (MMMNA).
Our belief is based on the fact that in 1995, Florida abolished the common law Doctrine of Necessaries (which gave one spouse an obligation to financially support the other). So, as the law currently stands, there is no requirement for spouses to support one another.

nys spousal refusal form