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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

What does a long-term care ombudsman actually do?

An ombudsman advocates for a resident free of charge, and only with the resident's consent. They can attend a care conference with a family but do not license, inspect, or fine a facility -- that is the state health department's job, not the ombudsman's.

Can an ombudsman file a complaint even if my parent doesn't want to?

No. Consent matters: if a parent has capacity and does not want a complaint pursued, that decision stands, even where family disagrees with it. The ombudsman represents the resident's wishes, not the family's.

Is the ombudsman the same as filing a state licensing complaint?

No, they're two different systems. The ombudsman advocates for an individual resident; the Indiana Department of Health investigates regulatory complaints and can take enforcement action against a facility's license. Using one does not preclude using the other.

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