Remedial Care Expense Deduction (Archive)

The remedial care expense deduction can be used by a person who resides in a residential living arrangement Community living arrangements such as group residential housing (GRH), board and lodge, and corporate and foster care settings that provide supportive services. where a county agency has a GRH agreement. The remedial care expense deduction can be used as:

l  A health care expense applied to a medical spenddown.

l  A health care expense deduction from income when a person’s MA eligibility is determined using a LTC income calculation.

The remedial care expense deduction cannot be used to reduce a waiver obligation.

The remedial care expense deduction can be used without documentation or verification.

The remedial care expense deduction amount is adjusted semi-annually in January and July of each year.

Example:

Sam lives at ABC Assisted Living Community. He applies for MA and the worker determines he has a $300 medical spenddown. ABC Assisted Living Facility has a GRH arrangement with the county.  

Action:

The worker allows the remedial care expense deduction to be used to meet Sam’s medical spenddown. The worker enters the remedial care expense deduction as a P bill health care expense when applying bills to a medical spenddown.

Example:  

Sarah applies for SIS-EW and lives in a GRH facility. The facility has a GRH arrangement with the county  

Action:

The worker deducts the remedial care expense deduction as a health care expense from Sarah’s income in the LTC income calculation.

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