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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.

HomeBy SituationMy 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

Does Medicare pay for a nursing home stay after a hospitalization?

Medicare covers a limited skilled-nursing-facility stay only after a qualifying inpatient hospital admission, for rehabilitation, not long-term placement. Time spent under observation status does not count, even after multiple nights in a hospital bed -- ask the hospital directly which status applies.

Which Indianapolis-area hospital systems most often discharge patients to senior care?

IU Health, Ascension St. Vincent, Community Health Network, Franciscan Health and Eskenazi Health handle the bulk of Indianapolis-area discharge planning, alongside Hendricks Regional Health, Riverview Health, and Hancock Regional Health in the collar counties.

Can I push back on a hospital discharge date?

Yes, and it is usually less fixed than it sounds, particularly if no safe plan exists yet. Ask the case manager directly what happens if no placement is confirmed by the target date, and involve the hospital's patient advocate if the timeline feels unsafe.

Not sure where to start?

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