The exact amount of the MMMNA varies based on the cost of housing. In 2022, this MMMNA can fall between a minimum of $2,289/month and a maximum of $3,435/month (because it is based on the federal poverty level – which is higher outside the continental U.S. – the minimum MMMNA is slightly higher in Alaska and Hawaii). If the community spouse’s income is below the MMMNA amount, the difference can be taken out of the income of the spouse who is in need of LTSS, and given to the community spouse to cover their living expenses. Without this rule, virtually all of the income in the name of the spouse who needs LTSS would have to be used to cover the cost of their care, leaving the community spouse with little or nothing to live on.