*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***
Effective: October 1, 2008 |
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23.15.05 - LTC Income Calculation: Countable Gross Income Determination |
Archived: June 1, 2016 (Previous Version) |
All gross income, except excluded income, is counted in the LTC income calculation. Count income in the month received.
Exception: Do not deem a sponsor’s income if the sponsor is the community spouse.
Verify income at each request for MA payment of LTC Services, at the annual renewal, and when a change is reported. Enrollees who have earned income in excess of $80 per month are required to report and verify their income monthly using the Household Report Form (DHS-2120).
This section lists rules that apply when determining gross earned and unearned income for MA payment of LTC Services.
The following rules apply when determining gross earned income:
l Do not average or annualize income.
l Estimate future income as accurately as possible. Retroactive adjustments will apply if anticipated income is different than the actual income received.
l Count net self-employment income as gross earned income.
l Do not allow any deductions from gross earned income unless the person qualifies for the Special Personal Allowance.
The following rules apply when determining gross unearned income:
l Do not average or annualize income.
l Estimate future income as accurately as possible. Retroactive adjustments will apply if anticipated income is different than the actual income received.
l Do not allow deductions from unearned income for state or federal tax withholding.
l Count sponsor income as gross unearned income.
l Do not count LTC insurance payments that are considered third-party liability as income.
l Do not allow the RSDI cost-of-living adjustment (COLA) disregard. Count the increased gross amount of RSDI beginning in January of each year.