Clothing and Personal Needs Allowance Example

Lois requests MA payment of LTC services in December. She remains in her home, with her husband, and is receiving home and community-based services through the Elderly Waiver. Her income is above the Special Income Standard (SIS).

Action:

Allow the clothing and personal needs allowance as a deduction from Lois’ LTC income calculation. She cannot use the:

SIS-EW Maintenance needs allowance because she is not SIS-EW.
Home maintenance allowance because she is not residing in an LTCF.
Veteran’s Improved Pension because receipt of VA income is not indicated.