Thursday, November 29, 2012

2013 Medi-Cal Resource & CA Partnership Limits

Medicaid/Medi-Cal Limits
The 2013 Community Spouse Resource Allowance (CSRA)  is $115,920 up from $113,640 (2012)

The maximum Minimum Monthly Maintenance Needs Allowance (MMMNA) for 2013 is $2,898 up from $2,841 (2012)

2013 (DRA 2005) Home Equity Limits: Minimum $536,000 Maximum $802,000 (CA)

CA Average Semi Private N.H. Rate 2013: $7,098
CA Partnership Minimums 
CA Partnership for Long Term Care Minimum Daily Benefit for 2013 is $170 a day for Nursing Home and $119 per day (70% of N. H.) for Residential Care and Assisted Living. Minimum Monthly reimbursement for Home Care (50% of N.H.) is $85 x 30 = $2,550 and $85 x 31 = $2,635. Average Private Pay (Nursing Home) Rate has not been released.  ( It will most likely to remain at $8,640)

Medicare Part B (Medical Insurance Cost)
If your yearly income in 2011 was
Individual           File Joint Return                You Pay
$85,000               $170,000                         $104.90
$85-$107K          $170-$214K                     $146.90
$107-$160K        $214-$320K                     $209.80
$160-$214K        $320-$428K                     $272.70
above $214k        above $428K                   $335.70 

Skilled Nursing Facility Stay
In 2013, you pay

  • 0 for the first 20 days of each benefit period
  • $148 per day for days 21-100 of each benefit period
  • All cost for each day after 100 of the benefit period


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