MedicaidAdministrativeLow impact
Prevention of Spousal Impoverishment Standards for 2026
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2026
We identified it
Jun 16, 2026
Summary
Illinois has updated the Prevention of Spousal Impoverishment Standards for 2026, increasing the Community Spouse Resource Allowance (CSRA) from $135,648 to $143,172 and the Community Spouse Maintenance Needs Allowance (CSMNA) from $3,948.50 to $4,066.50. Long-term care facilities must update their patient information materials to reflect these new financial thresholds for Medicaid eligibility determinations.
Action Required
By January 22, 2026: Long-term care billing teams in Illinois must update patient information materials and admission documentation to reflect the new CSRA amount of $143,172 and CSMNA amount of $4,066.50. Update any printed materials or electronic systems that reference the old spousal impoverishment standards for Medicaid eligibility calculations.