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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

I live out of state. How do I manage my parent's care from a distance?

Build a plan that survives a bad-weather week when you cannot fly in. Recruit local eyes such as a Meals on Wheels driver or trusted neighbor, get medical power of attorney and HIPAA authorization in place, and establish one local point of contact, such as CICOA or a geriatric care manager.

Which Area Agency on Aging covers Marion County?

CICOA Aging & In-Home Solutions, Indiana's Planning & Service Area 8, covers Marion County and all five surrounding collar counties this site serves. Reach CICOA at 317-254-5465 or its Resource Center at 317-803-6131.

Does Hamilton County have its own Area Agency on Aging?

No -- Hamilton County is covered by the same agency as Indianapolis, CICOA Aging & In-Home Solutions, so Carmel, Fishers and Noblesville families use the same regional resources as Marion County families.

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