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Example

Mrs. Boria is institutionalized. Her husband, 15-year-old daughter (Ellen), and 12-year-old son (Ethan) live in the community. Ethan has a gross monthly income equal to $1,400, and Ellen has a gross monthly income equal to $1,600. The monthly income allowance for both Ethan and Ellen is calculated in the following manner: $1,498.00/ 3 = $499.33 $1,298.00/ 3 = $432.66

Consequently, subtract $499.33 for Ethan and $432.66 for Ellen from Mrs. Boria's income. Monthly Income Allowance in this Chapter). The term 'family member' only includes minor or dependent children, dependent parents, or dependent siblings of the institutionalized or community spouse who are residing with the community spouse.

$2,898.00 $2,898.00 Minimum Monthly Maintenance Needs Allowance - $1,400.00 -$1,600.00 Monthly Gross Income $1,498.00 $1,298.00

PROJECTED INCOME 2.7

Any one or more of the following may be projected for a prospective period not to exceed six months:

 income the LTC recipient or institutionalized spouse expects to receive, and  medical and remedial care expenses expected to be incurred based on expenses incurred in the immediately preceding six months (see Section 2.6.5: Allowance for Medical Expenses in this Chapter).

Projections are based on no more than six-month periods, and periodic adjustments of amounts must be made. However, adjustments must be made sooner when there are significant changes in specific projected amounts.

See Exhibit VII-3: Provisions for Pre-October 1989 Institutionalization for additional items that may be projected for individuals institutionalized before October 1, 1989 who have a community spouse.

Impoverished Spouse: See above. In addition, the following can also be projected for a prospective period not to exceed six months:

 monthly income allowance for the community spouse (see Section 2.6.6: Community Spouse Monthly Income Allowance in this Chapter), and  monthly income allowance for family members based on income family members expect to receive (see Section 2.6.7: Family Members' Monthly Income Allowance in this Chapter).

ASSESSMENT OF ASSETS 2.8

Impoverished Spouse: The assessment of assets can occur prior to or during institutionalization and prior to the MA-eligibility determination.