Do I Have to Account to My Mother's Nursing Home for How I Spend Her $60 Allotment From Her Social Security Check?

You are asking about your mother’s "personal needs allowance," one of the allowable exceptions to the basic Medicaid rule that all income must be paid to the nursing home (the amount a nursing home resident may keep may be somewhat higher or lower than $60 a month, depending on the state). You may be required to account for how this money is spent. As guardian, state guardianship law requires you to account for your spending. Also, if you are representative payee for your mother, the Social Security Administration may also require an accounting. It is not clear how either would relate to the nursing home or Medicaid coverage of your mother’s care there. But, of course, every state is different.

For more information about guardianship, click here.

For more on how Medicaid treats income, click here.

To find out the personal needs allowance in your state, click here.