Spousal Impoverishment

On June 4, 2021, the Centers for Medicare & Medicaid Services (CMS) released a Medicaid Informational Bulletin with the updated 2021 Supplemental Security Income (SSI) and Spousal Impoverishment Standards.

On Tuesday, May 4, the Centers for Medicare and Medicaid Services released a Center Informational Bulletin (CIB) discussing the recent extension of the HCBS spousal impoverishment policies. The Consolidated Appropriations Act, 2021 extended the requirement that Medicaid programs apply spousal impoverishment protections until September 30, 2023. CMS also described plans to release future guidance regarding options for income and asset disregards.

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.