DHA Case No. MRA 12/62917 (Wis. Div. Hearings and Appeals Jul. 13, 2004) (DHS) ↓ Download PDF An ALJ may increase the community spouse resource allowance (CSRA) if needed to generate income up to the minimum monthly maintenance needs allowance (MMMNA). In this case, the petitioner and his wife had low income but had sold […] Read more

DHA Case No. MRA 153656 (Wis. Div. Hearings and Appeals Feb. 6, 2014) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 139500 (Wis. Div. Hearings and Appeals May 24, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 138721 (Wis. Div. Hearings and Appeals May 15, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 139168 (Wis. Div. Hearings and Appeals Apr. 26, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 139362 (Wis. Div. Hearings and Appeals Apr. 5, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 139105 (Wis. Div. Hearings and Appeals Mar. 31, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the community spouse had expenses including […] Read more

DHA Case No. MRA 135653 (Wis. Div. Hearings and Appeals Jan. 17, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the community spouse had expenses including […] Read more

DHA Case No. MRA 70/101343 (Wis. Div. Hearings and Appeals Feb. 26, 2009) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if needed to avoid financial duress. In this case, the community spouse was employed and much of his income went to payroll deductions. ALJ Brian Schneider concluded increasing […] Read more

DHA Case No. MRA 13/99632 (Wis. Div. Hearings and Appeals Feb. 3, 2009) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) above the minimum monthly maintenance needs allowance (MMMNA) determined by the agency if the MMMNA is insufficient to meet the community spouse’s basic maintenance needs. In this case, […] Read more

DHA Case No. MDV 221203 (Wis. Div. Hearings and Appeals Feb. 9, 2026) (DHS) ↓ Download PDF One exception to the usual divestment rule is if the transfer was made without the intent to qualify for Medicaid. In this case, the petitioner transferred about $110,000 to her son over the five-year look-back, but because he […] Read more

DHA Case No. MGE 220279 (Wis. Div. Hearings and Appeals Jan. 28, 2026) (DHS) ↓ Download PDF To be eligible for Wisconsin Medicaid, a person must be a Wisconsin resident. In this case, the petitioner initially resided in an nursing home in Wisconsin and attempted to exempt more than $1,500 in burial funds. When the […] Read more

DHA Case No. MGE 220759 (Wis. Div. Hearings and Appeals Jan. 23, 2026) (DHS) ↓ Download PDF The deductions available in calculating patient liability are limited and do not include any allowance for estimated income tax payments or withholding. In this case, the petitioner was granted a six-month home expense deduction but asked that his […] Read more

DHA Case No. MRA 220384 (Wis. Div. Hearings and Appeals Jan. 7, 2026) (DHS) ↓ Download PDF In general, all gross income is counted when determining eligibility and cost share for Family Care. In this case, the petitioner was enrolled in Institutional MA and allocated the maximum amount of income to her community spouse, who […] Read more