Remedial Care Expense Deduction (Archive)

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 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 Special Income Standard Elderly Waiver. An MA program for clients who receive Elderly Waiver (EW) services and whose income is at or below the Special Income Standard (SIS). 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.

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