PM 15-02-02-a: Persons Applying for or Receiving DoA Services with a Spouse

WAG 15-02-02-a.

For an AABD Medical client applying for or receiving DoA services with a community spouse, a Community Spenddown case is one where the client:

• lives in the community; and
• has nonexempt assets of at least $1 but not more than $10,500 over the asset limit, after allowing for the Community Spouse Asset Allowance (CSAA); and/or
• has countable income to apply to medical care costs of at least $1 but not more than $1,800 after deducting the following, as appropriate, from income:
  • the Community Standard for one person, and
  • the Community Spouse Maintenance Needs Allowance (CSMNA), and
  • the Family Maintenance Needs Allowance (FMNA).

If nonexempt assets are greater than $10,500 (after allowing for the CSAA) or countable income to apply to medical care costs is greater than $1,800 (after allowing for the CSMNA or the FMNA), do not treat the person as applying for or receiving DoA services. Complete a 2nd determination using the appropriate Community Standard, rather than the one-person standard. Refer to PM 15-06-02-d.