Ending the LTC Income Calculation – No Community Spouse Example

Ending the LTC Income Calculation – No Community Spouse Example

Betty, who is single, is an MA-LTC enrollee residing in an LTCF. On April 15, she reports she was discharged home the previous day. She is not receiving waiver services in her home.

Action:

End the LTC income calculation in March, the month before the month Betty is being discharged home.

February	March	April	May	June	July
LTC Income Calculation	LTC Income Calculation	Community Income Calculation	Community Income Calculation	Community Income Calculation	Community Income Calculation

Example Continued:

Betty has a monthly spenddown for April. She does not have enough anticipated health care expenses to meet the April and ongoing spenddown.

Action:

Close her MA eligibility for May providing 10-day notice. She will have MA eligibility for April without a spenddown. (Note: Adverse actions are not allowed without a 10-day notice.)