DHA Case No. MRA 12/62917 (Wis. Div. Hearings and Appeals Jul. 13, 2004) (DHS) ↓ Download PDF An ALJ may increase the community spouse resource allowance (CSRA) if needed to generate income up to the minimum monthly maintenance needs allowance (MMMNA). In this case, the petitioner and his wife had low income but had sold […] Read more

DHA Case No. MRA 153656 (Wis. Div. Hearings and Appeals Feb. 6, 2014) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 139500 (Wis. Div. Hearings and Appeals May 24, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 138721 (Wis. Div. Hearings and Appeals May 15, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 139168 (Wis. Div. Hearings and Appeals Apr. 26, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 139362 (Wis. Div. Hearings and Appeals Apr. 5, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the petitioner’s community spouse had expenses […] Read more

DHA Case No. MRA 139105 (Wis. Div. Hearings and Appeals Mar. 31, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the community spouse had expenses including […] Read more

DHA Case No. MRA 135653 (Wis. Div. Hearings and Appeals Jan. 17, 2012) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if the community spouse does not have enough income to pay his or her “necessary and basic maintenance needs.” In this case, the community spouse had expenses including […] Read more

DHA Case No. MRA 70/101343 (Wis. Div. Hearings and Appeals Feb. 26, 2009) (DHS) ↓ Download PDF An ALJ may increase the community spouse income allocation (CSIA) if needed to avoid financial duress. In this case, the community spouse was employed and much of his income went to payroll deductions. ALJ Brian Schneider concluded increasing […] Read more

DHA Case No. CWA 221759 (Wis. Div. Hearings and Appeals Mar. 25, 2026) (DHS) ↓ Download PDF When deciding whether to approve a budget amendment, the Division of Medicaid Services (DMS) considers whether the requested service is necessary, cost-effective, and not duplicative of other services. In this case, the petitioner requested a budget amendment to […] Read more

DHA Case No. CWA 220910 (Wis. Div. Hearings and Appeals Mar. 25, 2026) (DHS) ↓ Download PDF An IRIS participant has a right to a fair hearing only after an adverse action, which is a denial, reduction, termination, or limitation of services or a denial of eligibility. In this case, the petitioner’s AFH received an […] Read more

DHA Case No. FCP 221947 (Wis. Div. Hearings and Appeals Mar. 24, 2026) (DHS) ↓ Download PDF The Family Care program provides residential services only if they are cost-effective or the member’s health and safety cannot be adequately safeguarded in their own home. In this case, the petitioner’s guardian requested he be placed in an […] Read more

DHA Case No. FCP 221463 (Wis. Div. Hearings and Appeals Mar. 24, 2026) (DHS) ↓ Download PDF The Program of All-Inclusive Care for the Elderly (PACE) may provide transportation services to maintain community connections and receive services in the community. In this case, the petitioner requested travel vouchers for the purpose of going to the […] Read more

DHA Case No. CWK 221868 (Wis. Div. Hearings and Appeals Mar. 23, 2026) (DHS) ↓ Download PDF The Children’s Long-Term Support program will not pay for home modifications that are “of a general utility and not of direct or remedial benefit to the CLTS recipient.” In this case, the petitioner asked that her patio be […] Read more