Medically Needy Long Term Care with Spend Down Income Option

The income test checks for more than 300% of Medically Needy benefit rate.

These are the steps to follow when determining income eligibility with Spend Down for LTC related programs:

  1. Determine the appropriate financial unit. (See the Financial Unit section in this chapter)
  2. Perform the Net Income Test for the financial unit defined in 1 above
  3. If the client's net income is less than or equal to the LTC Income Eligibility Standard (LTC IES) established by the state, the client is income eligible with no spend down amount.
  4. If the client's net income is greater than the LTC IES established by the state, calculate the client's spend down liability.
  5. If the spend down amount determined in 4 above is greater than zero, carry out the steps for LTC spend down