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My spouse needs more care than I can give

Options that keep a couple together, and the spousal protections Medicaid provides.

Quick answer

Options that keep a couple together, and the spousal protections Medicaid provides.

Home›By Situation›My spouse needs more care than I can give

Caring for a spouse is different from caring for a parent, financially and otherwise. Indiana's spousal impoverishment protections under federal Medicaid rules set a Community Spouse Resource Allowance and a Minimum Monthly Maintenance Needs Allowance -- confirm current figures with FSSA before relying on a specific dollar amount.

Short answer

Options that keep a couple together, and the spousal protections Medicaid provides.

What to do, in order

  1. Understand the spousal protections. Indiana's Community Spouse Resource Allowance and Minimum Monthly Maintenance Needs Allowance change annually -- confirm current figures with FSSA or an elder law attorney before assuming a specific dollar amount.
  2. Look at communities that keep couples together. Several campuses offer more than one level of care on one site.
  3. Be honest about your own health. Spousal caregivers routinely under-report their own decline.
  4. Get an objective assessment. The Area Agency on Aging serving your county can assess both of you at no cost.

Questions families ask

What should I do if someone is in immediate danger?

Call 911 first. Adult Protective Services is not an emergency responder and does not dispatch immediate help -- it investigates reports after the fact. Use 911 for anything urgent, then follow up with APS or the ombudsman as appropriate.

Who has to report suspected elder abuse in Indiana?

Indiana is a mandatory-reporting state: anyone who suspects neglect, battery, or exploitation of an endangered adult (18 or older, incapacitated, and harmed or threatened) is required to report it, not just healthcare or facility staff.

My parent is being discharged from an Indianapolis hospital in 72 hours. What now?

Ask the case manager for the discharge plan in writing, confirm whether your parent was admitted as an inpatient or held under observation status (only inpatient stays count toward Medicare's skilled-nursing benefit), and ask which facilities have actually accepted the referral -- not just which ones were contacted.

Not sure where to start?

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