610 How to Calculate Income Eligibility for ALTCS

 

 

 

Revised 04/14/2016

 

Policy

A customer’s counted income must not be more than the income limit for ALTCS.

NOTE    A customer receiving SSI-Cash, Title IV-E Foster Care or Title IV-E Adoption Assistance is considered income eligible for ALTCS unless the customer has a disqualifying trust.  When a customer receives one of these payments and disbursements from a Special Treatment Trust, the disbursements are counted for eligibility as described in MA803A.8.

The table below lists the income tests and describes when each is used:

Use the...

When…

Gross income test

·  The customer is living in a setting where long-term care services can be provided (MA521); and

·         Is not refusing HCBS services.

Net income test

·         The customer is living in a setting where long-term care services cannot be provided; or

·         Is refusing HCBS services.