Illinois Spousal Income Allowance: where the income goes, 2026
2026 law · reviewed September 4, 2026
| Item | Amount | Who keeps it |
|---|---|---|
| The spouse at home's own income | All of it | The spouse at home |
| Community spouse maintenance allowance | $4,066.50 a month, less the spouse at home's own income | Shifted to the spouse at home from the spouse in care |
| Personal needs allowance | $60 a month | The spouse in care |
| Patient pay | Whatever remains of the spouse in care's income | The facility; Medicaid pays the rest |
Division of a couple's income once one spouse is on Illinois Medicaid in a nursing home (Illinois Department of Healthcare and Family Services; 42 U.S.C. § 1396r-5).
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