No, a gift by the at-home spouse would not affect the nursing home resident’s Medicaid, if the gift is made after Medicaid has been approved. However, a gift prior to Medicaid approval would delay Medicaid eligibility. That’s because for purposes of determining eligibility, the husband and wife are looked at as one budgetary unit for North Carolina Medicaid. Accordingly, the assets and gifts of both spouses are considered.
However, after Medicaid is approved, then the couple is no longer considered a budgetary unit for Medicaid. As a result, your mother’s subsequent gifts would not affect your father’s Medicaid. Moreover, your mother’s assets would not affect your father’s Medicaid, either. That means your mother could receive an inheritance or even win the lottery and your father could still receive Medicaid since your mother’s assets would not affect his eligibility.