In this division, the following words and terms have the following meanings, unless the context clearly indicates otherwise. (1) Community spouse--The spouse of an institutionalized spouse who is not living in a setting that provides medical care and services. (2) Dependent family member--A minor or dependent child, dependent parent, or dependent sibling of an institutionalized spouse or a community spouse who resides with the community spouse. (3) Institutional setting--In this division only, a living arrangement in which a person applying for or receiving Medicaid: (A) lives in a Medicaid-certified long-term care facility; (B) receives services under a §1915(c) waiver program; or (C) receives services under the Program of All-Inclusive Care for the Elderly (PACE). (4) Institutionalized spouse--A person who: (A) receives care in an institutional setting; (B) has met or is likely to meet the criterion in subparagraph (A) of this paragraph for at least 30 consecutive days; and (C) is married to a spouse who does not meet the criterion in subparagraph (A) of this paragraph. (5) Spousal protected resource amount (SPRA)--That portion of a couple's combined countable resources reserved for the community spouse and deducted from the couple's combined countable resources in determining eligibility. |
