Upon completion of the check Medical Assistance rules, the eligibility decisions display. The individual may be eligible for one of the three Long Term Care coverage types.
Cost of care refers to the requirement for the institutionalized individual to contribute to their own cost of care. The amount of income that an individual must pay towards their cost of care is appended to the Summary and Income details on the Medical Assistance eligibility decisions. For income, the details of the Earned Income Deduction, the Personal Needs Allowance, the Community Spouse Allowance, the Family Dependent Allowance, the Medical Expense Deduction, the Home Maintenance Allowance and the Legal Guardian Expense Deduction display. Also appended to the Summary details, if an individual is in an institution a partial month, the results are prorated.
Spousal Impoverishment results are also appended to Resource details on Medical Assistance results. The details of the two resource tests, the assessment details including each client's assessed resources, total amount to transfer, remaining amount to transfer display, and protected period dates display.
Note that the caseworker can also view a list of ineligible decisions from the Medical eligibility decisions. For example if ineligible for the Long Term Care coverage type, but eligible for Medically Needy Long Term Care, the Long Term Care coverage type displays in ineligible decisions.