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5. Family maintenance allowance (allowed only when institutionalized individual is married) 6. The waiver applicant’s (married or unmarried) incurred medical or remedia care expenses, including health insurance premiums 7. Court-ordered child support actually paid (CMA 601-1 Prospective Budgeting) 8. Court-ordered spousal support actually paid (CMA 601-1 Prospective Budgeting) NOTE: It is possible for a waiver spouse to be medically needy without a spend down the spousal income maintenance allowance and/or family maintenance allowance(s) reduces the spend down to zero. Example: Waiver spouse's income is $1000 per month Social Security. $1000 - $20 general income disregard = $980 - $525 MNIL - $391 MN deduction = $64. If the spousal income maintenance is calculated to be $64 or more, this medically needy waiver spouse will have no spend down. Blind/disabled work expenses are not used in Post Eligibility Treatment of Income (PETI). ABD 805-2 Post Eligibility Treatment of Income (PETI)

l if SPOUSAL INCOME MAINTENANCE ALLOWANCE (MARRIED INDIVIDUALS): The community spouse income maintenance allowance is the lesser of: 1. $4067 (Effective 01/01/2026)less the community spouse’s own total gross monthly income (see Income Attribution in CMA 500 Income Overview) NOTE: Total gross income includes all income (including gross SSI) the community spouse receives from all sources; income deductions, exclusions, exemptions or disregards do not apply, except in very few situations. Only those payments excluded from all public assistance determinations by other laws are not considered, these include Native American Income and tax stimulus payments. OR 2. A combination of: a. Community spouse’s shelter expenses (principal residence) that exceed the $794 basic (effective 07/01/2025) shelter allowance; plus b. $2644 (effective 07/01/2025) basic needs standard; less c. Community spouse’s total gross income (See ‘NOTE’ above). s