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EXAMPLE
#2
A married client applies for LTC on 3/15/04. The client first became institutionalized 8/1/03 and has remained institutionalized without a break. Because the client first became institutionalized on or after 8/1/03, use the State Spousal Resource Standard of $40,000 for time period 8/1/03 through 6/30/05. (Effective July 1, 2005, State Spousal Resource Shared increased to $41,943.) unless the client or the client’s spouse requests an evaluation of the community resources.
If the client or the client’s spouse requests an evaluation of the community resources, determine the amount of the spousal share as of the first day of the month the client became institutionalized.
The client and spouse had a total of $90,000 of non-excluded resources on 8/1/03 (the first day of the month that the client became institutionalized). One-half of the total was $45,000.00. This is the spousal share. For this client we would use the spousal share of $45,000 as the Community Spouse Resource Allocation because it is higher than the State Spousal Resource Standard and less than the federal Community Spouse Resource Allocation maximum.
The most we can allow is the federal Community Spouse Resource Allocation maximum. As of 8/1/03, this amount is $90,660. If we evaluated the couple’s resources and found they had a total of $200,000 in non-excluded resources as of 8/1/03, then we would use the federal Community Spouse Resource Allocation maximum in place at the time of application. This is because the spousal share of $100,000 is greater than both the State Spousal Resource Allocation standard and the federal Community Spouse Resource Allocation maximum.
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