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Medicaid eligibility

2025 R.l. Medicaid Eligibility Figures

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Rhode Island Medicaid Numbers 2025

Every year the State of Rhode Island Department of Health and Human Services updates the asset and income limits to be eligible for Long Term Support Services Medicaid benefits – which help subsidize the cost of long-term care for medically needy individuals. Below are the figures that have been published for 2025:

 

Community Spouse Resource Allowance:
Minimum $31,584.00
Maximum Spousal Share (1/2 joint resources as of beginning of period of continuous institutionalization), up to $157,920.00
Resource Allowance for Individual: $4,000.00 (Medically Needy)
Monthly Maintenance Needs Allowance:
Minimum $2,555.00
Maximum $3,948.00
Allowance for Personal Needs: $75.00 (unless specific circumstances)
Therapeutic Employment: +$85+(1/2 bal., max. $265) = max. $400
Guardianship, Legal, & Tax: varies
Community Spouse Monthly Housing Allowance: $766.50 (unless excess)
Standard Utility Allowances: $676.00 (no heat/non distinction)
Home Equity Limit: $730,000.00 Minimum
$1,097,000 Maximum
Divestment Penalty Divisor and Allowable Income Limit: $10,190.00/mo $335.00/day

RI EOHHS MEDICAID POLICY

NEW FOR 2025 – Simplified Eligibility Criteria: Single Nursing Home Applicant
In 2025, a single Nursing Home Medicaid applicant in Rhode Island must meet the following criteria: 1) Income under $2,901 / month 2) Assets under $4,000 3) Require a Nursing Home Level of Care.