LTC Spenddowns and Waiver Obligations (Archive)

The result of the LTC income calculation is a cost obligation of either a:

l  LTC spenddown.

l  EW waiver obligation.

l  Combination LTC/Medical Spenddown.

Which cost obligation a client has is dependent on:

l  The client’s residence.

l  Whether the client is receiving Elderly Waiver (EW) with income at or below the Special Income Standard (SIS). These people are known as SIS-EW.

l  The cost of care in an LTCF or for EW services.

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