Medicare / Medicaid Rules

Medicare-Medicaid Pay-Down of Assets

State law and regulations impose income and asset limits on persons applying for Medicaid.

The income limit for the institutional Medicaid program and certain home and community-based waiver programs is determined by the Nevada Department of Health and Human Services Division of Health Care Financing and Policy. For 2025, the Medicaid income limit for individuals eligible for the Nursing Home (institutional) program requires that the individual have income equal to or less than 300% ($2,901) of the Supplemental Security Income (SSI) payment level (individuals eligible for SSI can receive long term care services, plus full Medicaid benefits) and have resources up to $2,000 for one person or $3,000 for a married person. Resources include, but are not limited to: cash, bank accounts, stocks, bonds, trusts, annuities, property and life insurance. Resources do not include the value of your home, one vehicle and ordinary home and personal goods.

Disposal of resources at less than fair market value affects eligibility for certain services, and disposal of assets at less than fair market value affects eligibility for certain services, except in instances where the agency determines that the transfer rules would work an undue hardship. Any transfer of resources for less than fair market value will be assessed for the prior 60 months of an application to determine if this criteria has been met.

Nevada Department of Health and Human Services Division of Health Care Financing and Policy
State Medicaid Policy

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