County of San Diego Health and Human Services Agency HHSA MediCal Program Guide Special Notice 2022 Medicare Catastrophic Coverage Act Spousal Impoverishment Number Page Caps and Substantial Gainful Activity SGA 2201 1of 1 Effective Date 01012022 Background The Substantial Gainful Activity SGA amount is used to determine if an individual who is claiming a disability and is also working has linkage to NonModified Adjusted Gross Income MAGI MediCal based on their disability The Community Spouse Resource Allowance CSRA is the amount of countable property the community spouse is allowed to retain when the institutionalized spouse applies for MediCal benefits The amounts for the Substantial Gainful Activity SGA Community Spouse Resource Allowance CSRA and Minimum Monthly Maintenance Needs Allowance MMMNA are updated annually Purpose To provide staff with the updated SGA CSRA and MMMNA amounts Policy Effective January 1 2022 the SGA CSRA and MMMNA amounts are as follows SGA NonBlind Individuals 1350 Blind Individuals 2260 CSRA 137400 MMMNA 3435 Procedure Use the updated CSRA and MMMNA when determining spousal impoverishment for an institutionalized individual Use the updated SGA amount when completing an SGA determination as outlined on MediCal Program Guide MPG 050403 Automation Impact Staff must use BEnDS 49130 Spousal Impoverishment Provisions until the CSRA and MMMNA values have been updated in CalWIN when determining spousal impoverishment References ACWDLs 2121E 2134 Sunset Date This policy will be reviewed for continuance on or by 01312023 Approval for Release Rick Wanne Director SelfSufficiency Services