Betsy Abramson Disability Rights Wisconsin August 2009. FINANCIAL ELIGIBILITY FINANCIAL ELIGIBILITY FOR WISCONSIN’S LONG TERM CARE PROGRAMS WISCONSIN’S LONG TERM CARE PROGRAMS. Medicaid Eligibility Handbook. http://www.emhandbooks.wi.gov/meh-ebd/ Ch. 15 – Income
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Disability Rights Wisconsin
FINANCIAL ELIGIBILITYFINANCIAL ELIGIBILITY FOR WISCONSIN’S LONG TERM CARE PROGRAMS WISCONSIN’S LONG TERM CARE PROGRAMS
Three different sets: Category A, Category B,
and Category C
or in an institution, “spousal impoverishment” protections available
Special income limit of 300% of federal SSI benefit rate.
$674 X 3 = $2,022 per month in 2009.
May have a cost-share. Depends on income deductions and allowances, medical/remedial expenses, and whether a “spousal impoverishment” situation
Income above the $2,022/month but
Many many Income deductions and medical/remedial expenses bring down their “countable income” below current “medially needy” MA income limit: $591.67
EXAMPLE: Individual with $2,422 month has spenddown of: $2,422.00 - $591.67 = $1,830.33 per month
The spenddown is their cost-share.
= Wage amount counted
[($465 – $65) / 2] = only $200 counts
$2,000 for individual
$3,000 for couple if both applying
If only one spouse applying:
See: Spousal Impoverishment
(These don’t count against the limit)
Plots, caskets, values, crypts, mausoleums, urns, niches, headstones, plaques, opening/closing arrangements. And for other family members!
*See next slides
Not divestment if can prove:
- is not in institution
- not on COP/CIP/ FC, etc.
$ 845 Social Security
$ 1200 Pension
$ 1000 Monthly speaker’s fees
$ 600 Social Security
$ 400 Librarian pension = TOTAL $1,000/month
Mortgage and utilities are $1,228
Now Laura has: $1,739 + her $1,000 = $2,739
Applies to benefits rec’d in