Module Overview
People who meet eligibility requirements for MA-LTC may be obligated to contribute income toward the cost of the LTC services. The amount of income that a person is obligated to contribute is determined by the income calculation.
There are several types of income calculations used to determine a client’s obligation toward his or her cost of care:
- The LTC income calculation.
- The MA-ABD community income calculation.
- The MA-FCA with a spenddown community income calculation.
Note: People with an MA-FCA basis of eligibility that do not have a medical spenddown also do not have an LTC obligation. They do not need to contribute to their cost of care in an LTCF, so there is no need to do a separate income calculation. Follow ONEsource to documenting MA-LTC eligibility for these spplicants and enrollees.
This module will provide an overview of these calculations, how to determine which calculation to use and when to change a calculation from one to the other.
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Types of Income Calculations - Income Calculations for MA-LTC