The law does not make a distinction between separated spouses or those living together, therefore, a spouse that is separated but not divorced remains a "legally responsible relative" whose income and resources are considered when determining Medicaid eligibility.
For Medicaid purposes, whether two people are married governs whether: couple computation rules apply; spousal or parental deeming applies; and/or. spousal impoverishment rules apply.
Monthly Maintenance Needs Allowance (MMNA) The MMNA ensures that the healthy spouse who continues to live in the couple's home maintains a certain amount of monthly income while their partner receives their Medicaid long-term care coverage. (Learn more about the ins and outs of MMNA.)
Once you are married, your income and access to health insurance will contribute to her eligibility. If the PHE is still in effect at the time, she will remain eligible for Medicaid. She would likely become ineligible once she is married and the PHE has ended.
The only way to get alimony in Texas is you had to have been married for ten years plus the other spouse is disabled or there is a family violence conviction. Two of these must apply or no alimony.