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 Wisconsin Department of Health Services. For 2025, the Medicaid income limit for individuals eligible is $2,901 per month.

The asset limit is $2,000, or $3,000 for a married couple who are both applicants.

The look back period is 60 months for all divestments. The look back period begins when an individual is both institutionalized and has applied for Long Term Care Medicaid or has requested one of the Home and Community-Based Waiver or Managed Long Term Care programs. “Date of application” is the date the applicant or his or her representative signs the application. If he or she does not sign the application, it is not a complete application and no divestment penalty can be imposed.

State of Wisconsin Department of Health Services Medicaid Eligibility Handbook 17.3, Table 39.4

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