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UT · Utah Medicaid · 2025 Rules

Utah Medicaid Spend Down Calculator

Calculate how much of your assets you must spend before Utah Medicaid covers nursing home costs in Utah. Uses current 2025 Utah-specific rules including asset limits, CSRA, transfer penalty, and income requirements.

$2,000

Asset Limit (Single)

$154,140

CSRA Max (Married)

Medically Needy

Income Rule

~$800/mo

Income Standard

$8,000/mo

Penalty Divisor

Utah note: Utah has a medically needy program. Excess income above the applicable standard is applied toward nursing home costs monthly.

Utah Spend Down Calculator

Pre-loaded with Utah rules. Enter your details below.

Medicaid Spend Down Calculator

Free estimate · 2025 rules · All 50 states + DC

1. Your Situation
2. Assets
3. Income
4. Transfers
5. Results

Select the state where the person needs nursing home care.

Utah Medicaid

Utah has a medically needy program. Excess income above the applicable standard is applied toward nursing home costs monthly.

Married couples have different asset protection rules (CSRA).

Utah Medicaid Spend-Down Rules (2025)

Program nameUtah Medicaid
Single person asset limit$2,000
Married — institutionalized spouse limit$2,000
Minimum CSRA (community spouse)$30,828
Maximum CSRA (community spouse)$154,140
CSRA calculation method50% of joint assets (between min/max)
Income rule typeMedically needy — excess income over $800/mo applied to care costs
Min. monthly maintenance needs allowance (MMMNA)$2,555/mo
Max. MMMNA$3,854/mo
Transfer penalty divisor$8,000/month (avg. NH cost)
Home equity limit$713,000
Look-back period60 months (5 years)

Utah Medicaid Spend Down — FAQ

What is the Medicaid asset limit in Utah?
A single person applying for nursing home Medicaid in Utah may keep up to $2,000 in countable assets. For a married couple, the community spouse may also keep between $30,828 and $154,140 (the CSRA), plus the primary home and one vehicle.
Is Utah an income cap or medically needy state?
Utah is a medically needy state. If your monthly income exceeds approximately $800, the excess is contributed each month toward the nursing home bill as a monthly income spend-down. This amount is sometimes called the "patient pay amount."
What is the transfer penalty divisor in Utah?
Utah uses $8,000 per month as its penalty divisor — the state's average monthly cost of nursing home care. Any uncompensated transfer within the 60-month look-back period is divided by this amount to calculate the penalty period. A $70,000 gift, for example, results in a 8-month Medicaid penalty.
Can the community spouse keep the home in Utah?
Yes. The primary home is fully exempt from the Medicaid spend-down while the community spouse resides in it. The home equity limit in Utah is $713,000 — equity above this amount could become countable if no spouse or dependent lives in the home. Estate recovery may apply after both spouses pass away; consult an elder law attorney about protection strategies.
What is the CSRA in Utah for 2025?
The Community Spouse Resource Allowance in Utah is calculated as 50% of the couple's joint countable assets at the time of the Medicaid application, with a minimum of $30,828 and a maximum of $154,140. For example, if the couple has $200,000 in joint countable assets, the CSRA is $100,000. The institutionalized spouse must then spend down their remaining share to $2,000.
How long does the Medicaid application process take in Utah?
Utah Medicaid applications for nursing home care typically take 45–90 days to process. Applications can request retroactive coverage for up to 3 months before the application date if the applicant was eligible during that period. Apply as soon as assets reach the limit — processing delays mean out-of-pocket nursing home costs continue.

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Utah Medicaid spend-down figures are based on 2025 federal and state standards. Rules change annually. Verify all information with the Utah Medicaid office or a licensed Utah elder law attorney before making financial decisions. This tool does not constitute legal or financial advice.