All Medicaid Programs |
Obsolete Policy |
Effective Date: August 1, 2020 - October 31, 2021
Post-Eligibility Deductions for the Community Transitions Waiver
Clients eligible for the Community Transitions Waiver receive certain deductions from income to decide what their cost of care will be. Deductions for post-eligibility are taken out of "Total Income." (463-1) Total income includes income that may be disregarded to determine eligibility for non-waiver programs. See Sec. 403-4 for total income included in the post-eligibility process.
(The MWI income category does not follow a Post Eligibility process, follow the rules found in 314 for the MWI premium).
Use the following for all other income categories:
A. Community Groups and Spenddown Waiver Group
Clients in the SSI Recipient, SSI Protected groups, 100% FPL Aged or Disabled groups, MWI group and Spenddown waiver income group do not have a post eligibility test.
B. Special Income Group
1. Total income Does Not Exceed 300% of the SSI Payment Rate.
o These clients are allowed to keep all of their income as a personal needs allowance. They do not owe a cost of care contribution.
2. Total income Exceeds 300% of the SSI Payment Rate (Spenddown Waiver Group).
o These clients receive the same deductions allowed for ABD spenddown Medicaid to determine their spenddown.