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Wisconsin Dept. of Health and Family Services v. Blumer

State-law Medicaid eligibility rule requiring elderly nursing home resident's at-home spouse to spend down his savings did not violate federal Medicare Catastrophic Coverage Act of 1988.

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534 U. S. ____ (2002)

On Writ Of Certiorari To The Court Of Appeals Of Wisconsin, District Iv

This case requires interpretation of the “spousal impoverishment” provisions of the Medicare Catastrophic Coverage Act of 1988 (MCCA or Act), 102 Stat. 754, 42 U. S. C. �1396r-5 (1994 ed. and Supp. V), a complex set of instructions made part of the federal Medicaid statute. The spousal impoverishment provisions permit a spouse living at home (called the “community spouse”) to reserve certain income and assets to meet the minimum monthly maintenance needs he or she will have when the other spouse (the “institutionalized spouse”) is institutionalized, usually in a nursing home, and becomes eligible for Medicaid.

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