us medicaid spend down
us_medicaid_spend_downUS nursing-home Medicaid, 2026: savings above the state asset limit (the spend-down), what a spouse at home keeps (CSRA $32,532-$162,660 by the state rule) and their monthly income allowance (MMMNA $2,705-$4,066.50), months the savings pay for care, the look-back penalty (gifts ÷ the state penalty divisor, part months kept), the month Medicaid starts and what the person pays on Medicaid (income less the personal needs allowance, spouse allowance and premiums). State figures are each state’s own (marked official or check); where a state figure was not found, the result says so and the caller can pass it.
Tool call template
Replace each placeholder with a value matching the input schema. Only required parameters are included; add optional parameters as needed.
{
"id": 1,
"jsonrpc": "2.0",
"method": "tools/call",
"params": {
"arguments": {
"state": "<state>",
"assets": "<assets>",
"incomeMonthly": "<incomeMonthly>"
},
"name": "us_medicaid_spend_down"
}
}Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| state | Yes | Two-letter state code | |
| assets | Yes | Countable savings and investments, USD (a couple: both together; not the home) | |
| waiver | No | A Medicaid waiver pays for assisted living or home care | |
| married | No | A spouse still lives at home | |
| careType | No | Type of care | |
| assetLimit | No | State asset limit, if known (overrides ours) | |
| costMonthly | No | Nursing home cost a month, USD (default: the state’s penalty divisor) | |
| incomeMonthly | Yes | The person’s gross income a month, USD | |
| penaltyDivisor | No | State penalty divisor a month, if known (overrides ours) | |
| giftsInLookback | No | Gifts or below-value transfers in the look-back, USD | |
| premiumsMonthly | No | Health insurance premiums a month | |
| spouseIncomeMonthly | No | Spouse’s own income a month | |
| spouseShelterMonthly | No | Spouse’s housing costs a month |