Beginning an LTC Income Calculation – Community Spouse Example

<%@LANGUAGE="JAVASCRIPT" CODEPAGE="65001"%> Beginning an LTC Income Calculation – Community Spouse Example

Types of Income Calculations - Beginning and Ending an LTC Income Calculation - Page 3a

Beginning an LTC Income Calculation – Community Spouse Example

Elderly Waiver Example:

Cory, age 65, is requesting MA-LTC through the EW on February 20. Services are anticipated to begin February 20. He is a current MA enrollee using an MA Method ABD income calculation. Cory lives with his wife and their teenage daughter. Cory was not disabled, but received Medicare in January and turned 65 years of age February 2. Cory’s wife does not receive any services.

Change Cory’s income calculation to an LTC income calculation for February, the month Cory begins receiving services through the EW.

January	February	March	April	May	June
MA Method ABD Income Calculation	LTC Income Calculation	LTC Income Calculation	LTC Income Calculation	LTC Income Calculation	LTC Income Calculation

Disability Waiver to LTCF Example:

Carlotta is an MA-LTC enrollee who has been receiving services through the CADI waiver for two years. Her current certification period is January through June. Carlotta enters an LTCF on March 31. She is expected to reside in the LTCF for the next six months. When on the CADI waiver she lived with her husband in their home. He does not receive any services and meets the definition of a community spouse.

Change Carlotta’s MA Method ABD income calculation to an LTC income calculation for the month of March, the month of admission to the LTCF since she has a community spouse.

January	February	March	April	May	June
MA Method ABD Income Calculation	MA Method ABD Income Calculation	LTC Income Calculation	LTC Income Calculation	LTC Income Calculation	LTC Income Calculation

Note: Carlotta would now be considered an MA-LTC enrollee who has become an LTC spouse. She has to complete a required Asset Assessment to determine if she is still asset-eligible for MA-LTC before determining income eligibility for her using an LTC Income Calculation beginning in March.

Updated September 15, 2021.
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