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Verification

As with all Minnesota Health Care Programs, verification of income is mandatory. 

Income must be verified at:

• Request for MA-LTC.

• Renewal, including monthly renewals. 

All clients must report changes in income within 10 days of the change. MA-LTC clients who use an LTC income calculation are required to verify income at the time a change in income is reported.

Some enrollees receive periodic payments. These enrollees are not required to renew monthly, but must verify all income.

When this happens, the enrollee may have a medical spenddown in which some of the medical expenses are LTC services. These LTC service costs, as well as the income, must be verified.

• An MA-LTC enrollee has a medical spenddown for Long-Term Care. Previously this was called a combination LTC/medical spenddown.

• If the person has income over the cost of care for MA-LTC monthly, the person is not eligible for MA-LTC. MA is not paying the long-term care services, but they can be used toward the medical spenddown. The medical spenddown in which LTC costs are used toward meeting the medical spenddown will be discussed later in this course.