*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016.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: July 1, 2010 |
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24.15.25.05 - Remedial Care Expense Deduction |
Archived: June 1, 2016 (Previous Versions) |
A person who resides in a residential living arrangement or a housing with services establishment where a county agency has a GRH agreement can use a remedial care expense deduction. 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 using an LTC income calculation to determine an LTC spenddown or an SIS-EW 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 has a $300 medical spenddown. ABC Assisted Living Facility has a GRH arrangement with the county.
Action:
Use the remedial care expense deduction to meet Sam’s medical spenddown. Enter the remedial care expense deduction as a P bill health care expense on the STAT/BILS panel. MAXIS applies the remedial care expense deduction to the medical spenddown.
Example:
Sarah applies for SIS-EW and lives in a GRH facility. The facility has a GRH arrangement with the county
Action:
Allow the remedial care expense deduction from Sarah’s income on her SIS-EW budget. Enter the remedial care expense as a P bill health care expense on the STAT/BILS panel. MAXIS applies the remedial care expense as a health care expense deduction from Sarah’s income in the LTC income calculation.