LTC Training Cases

Income and MA-LTC

LTC Training Cases

You have now processed income eligibility for each of your five LTC training cases. Click on each case name to review the determinations made in this course.

Emily picture. Emily Anderson:

You used an MA-ABD income calculation to determine eligibility for last month and all expenses were covered or used to meet the spenddown. An LTC income calculation is used for the current month because Emily entered an LTCF last month and is single. Emily has a medical spenddown for last month and an LTC spenddown for the current month.

Padma picture. Padma Das:

You used an MA-ABD income calculation to determine income eligibility for basic MA eligibility for Padma because she is ineligible for MA-LTC due to a transfer penalty. Padma has a medical spenddown and will not switch to an LTC calculation.

Sinclair Jefferson picture. Sinclair Jefferson:

You used an MA-ABD income calculation to determine Sinclair’s income eligibility because he is requesting services through the CADI waiver. He has a medical spenddown for both last month and the current month.

Andreas picture. Andreas Malone:

You used an LTC income calculation for the current month because Andreas entered an LTCF last month and he is single. Andreas was already eligible for MA and QMB last month. Andreas has a LTC spenddown but does not have income remaining after allowing deductions. He does not have any non-covered medical expenses to apply to the LTC calculation.

Isabella picture. Isabella Springer:

You used an MA-ABD income calculation to determine that Isabella, who is requesting services through the DD waiver, is income-eligible using an MA Method B income calculation. Isabella does not have a medical spenddown because her income (which is $0) is below the appropriate income standard.

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