Medicaid qualification rules include a series of “spousal impoverishment protections” that aim to prevent a healthy spouse from having to give up a family home or retirement savings, and live in poverty, in order to qualify his/her spouse for Medicaid. Unfortunately, these spousal impoverishment protections generally do not apply to same-sex couples, which can leave a same-sex partner without a home, unprotected from impoverishment. But now, states have federal guidance on how they can extend these protections to all couples—and you can help ensure that they take this important step to improve the well-being of all elders, including LGBT older adults.
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