Income Changes

Once eligibility has been determined for an institutionalized individual they are treated as a single income unit thereafter, and must always have income under a specified Long Term Care income limit. New/changed income evidence will trigger reassessment to run the Income Eligibility rules for Long Term Care for a single institutionalized individual. If the rules determine that the individual is over the income limit then they are ineligible for Long Term Care from the beginning of the following month. If the rules determine that the individual is still within the income limit the system will trigger reassessment to run post eligibility rules to redetermine the individual's contribution towards cost of care. An increase in income is likely to cause the individual to contribute more to their cost of care. Likewise, a decrease in income will reduce the individual's contribution to their cost of care. The reassessment will display the new amount in the reassessment result.

Income changes for a spouse or household member who is a family dependent will trigger reassessment to run the post eligibility rules for cost of care. The new contribution to cost of care will be displayed in the result. Income changes for any other household member will have no effect on the institutionalized individual's Long Term Care coverage but may impact their cost of care liability.