What is an LTC Income Calculation?
An LTC income calculation is the calculation used to determine MA-LTC for people residing in an LTCF and for certain Elderly Waiver clients. The result of this income calculation is either an LTC spenddown or a waiver obligation.
This calculation allows deductions for health care expenses, costs associated with maintaining a home or for personal care, and for helping a spouse and other family member with their community costs.
Use an LTC income calculation when determining income eligibility for people requesting MA-LTC:
- Who are expected to reside in an LTCF for 30 days or more. For LTCF stays that are less than 30 consecutive days, following income calculation begin/end date policy as found in future section of this module.
- Through the Elderly Waiver who are SIS-EW.
- Through the Elderly Waiver who are non-SIS-EW and who have a community spouse.
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Types of Income Calculations - Income Calculations for MA-LTC