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Annual Medicaid LTC home-equity screen applies the federal maximum in every state #9895
is_medicaid_long_term_care_home_equity_eligible (policyengine_us/variables/gov/hhs/medicaid/eligibility/is_medicaid_long_term_care_home_equity_eligible.py:19-23) compares non-agricultural home equity with gov.hhs.medicaid.eligibility.long_term_care.home_equity.limit in every state. That parameter is the federal maximum ($1,130,000 in 2026).
42 USC 1396p(f)(1)(B) lets each state elect a limit between the federal minimum and that maximum. Some states use the minimum ($752,000 in 2026, per the April 27, 2026 CMCS bulletin):
Texas: MEPD Appendix XXXI, "Substantial home equity — $752,000".
Delaware: DSSM 20320.7.B and 20320.7.E, which track the CPI-indexed federal minimum.
Washington: elects the maximum (WAC 182-513-1350(8)(c)).
Example. A Texas or Delaware long-term care recipient with $900,000 of home equity passes the annual variable, but state law bars LTSS payment.
The annual variable feeds is_medicaid_long_term_care_eligible. A fix therefore changes existing Medicaid outputs, so it needs its own impact analysis rather than being folded into #9184.
Activity
Add Delaware final-countable-income flag and LTSS registry entry
Cite the home-equity follow-up issue by reference, not URL