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Spousal Monthly Payouts for Medicaid Purposes Rise to $2,705

Freestyle1 min readApr 28, 2026
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Dan Brillman, deputy administrator and director of the Center for Medicaid and CHIP Services for CMS released a memo detailing updated 2026 spousal impoverishment standards.

Dan Brillman, deputy administrator and director of the Center for Medicaid and CHIP Services for the Centers for Medicare and Medicaid Services (CMS) released a memo detailing updated 2026 spousal impoverishment standards.


On July 1, the new allowances will take effect. The program covers married individuals seeking coverage of certain long-term services and supports via Medicaid.


The new minimum monthly maintenance needs allowance will be $2,705 in all states except Alaska and Hawaii (up from $2,643.75). In Alaska, it will be $3,381.25 (up from $3,303.75), and in Hawaii, it will be $3,111.25 (up from $3,040).


The community spouse monthly housing allowance, also effective July 1, will be $811.50 in every state except Alaska and Hawaii (up from $793.13). In Alaska, the rate will be $1,014.38 (up from $991.13), and in Hawaii, the rate will be $933.38 (up from $912).


Comments or questions? Contact Patrick Connole at pconnole@parkplacelive.com.

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