Page 220

CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

220 a. The community spouse's MMMNA; b. The community spouse’s own income; and c. The Monthly Income Allowance (MIA) contribution that the community spouse is eligible to receive from the institutionalized spouse. d. If the community spouse’s own income, and the Monthly Income Allowance contribution from the institutionalized spouse’s income is less than the Minimum Monthly Maintenance Needs Allowance, additional available resources shall be shifted to the community spouse to bring his/her income up to the level of the MMMNA. The additional resources necessary to raise the community spouse’s monthly income to the level of the MMMNA shall be based upon the cost of a single-premium lifetime annuity with monthly payments equal to the difference between the MMMNA and the community spouse’s income. The following steps shall be followed to determine the amount of resources to be shifted: i) The applicant shall obtain three estimates of the cost of an annuity that would generate enough income to make up the difference between the MMMNA and the combined community spouse’s income as described above. ii) The amount of the lowest estimate shall be used as the amount of resources to increase the CSRA. iii) The applicant shall not be required to purchase the annuity in order to have the CSRA increased. e. The CSRA shall not be increased if the institutionalized spouse refuses to make the monthly income allowance (MIA) available to the community spouse. 8.100.7.T. Deductions from Monthly Income of the Institutionalized Spouse 1. During each month after the institutionalized spouse becomes Medical Assistance eligible, deductions shall be made from the institutionalized spouse's monthly income in the following order.