The amount of income that a Medicaid recipient is permitted to have depends upon whether the recipient is living at home and receiving home care or is in a nursing home.  A recipient living at home is considered to be living in the community.  The income standard for community Medicaid recipients is approximately $700.00 per month for an individual and $1,000.00 per month for a couple.  However, if a recipient is living in a nursing facility, she is only permitted an income, with certain exceptions, of $50.00 per month.  Income in excess of these amounts is considered surplus income.  Surplus income does not, in and of itself, prevent the receipt of Medicaid benefits; however, monthly surplus income must be paid by the Medicaid recipient in order to receive Medicaid benefits.