LTC Spenddown for LTCF Residents
Clients residing in an LTCF who have an LTC spenddown are obligated to pay the LTCF their LTC spenddown amount.
When an enrollee is also a Medicare Part A recipient the client may receive a refund of a portion of the LTC spenddown amount due to Medicare payments the LTCF receives after the client has already paid the LTC spenddown. The LTCF may retain the refund amount for payment of a past due obligation but only with the agreement of the enrollee.
- The LTCF will notify you of the refund using the Refund or Non-Collection of a Long-Term Care (LTC) Spenddown form DHS-4277.
- Do not count the refund as income or an asset in the month received.
- Count any remaining amount of the refund as an asset in the month after the refund is received. Follow asset reduction policy if the refund creates excess assets for the client.
Refer to the EPM or the MA-LTC Basics course and handouts for more information on Medicare Part A.
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LTC Spenddowns