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instrument specifically provides otherwise.

2) If payment of income is made in both names to the institutionalized and community spouses consider 1/2 of the income available to each spouse.

3) If payment of income is made to the institutionalized and community spouse, and to another person or persons, consider the income available to each spouse in proportion to each spouse's interest.

4) In Step II only of LTC or PACE budgeting

Determine if the community spouse income allowance should be given. Refer to MA-2270 , Long-Term Care Need and Budgeting and MA-2275, Program of All-Inclusive Care for the Elderly (PACE).

B. Computation

Determine the available income of a/b. Deem income from a financially responsible person (spouse or parent), when appropriate. Subtract appropriate exclusions, including the infrequent or irregular income exclusion, to determine countable income.

Refer to IX. below for computation outline and MA-2260 , Financial Eligibility Regulations, PLA for budgeting/deeming procedures.

C. Consideration of Income

1. Count all income available in the certification period. Refer to V. below for budgeting terminated income.

2. Count income available to the a/b or a financially responsible person (spouse or parent), per budgeting/deeming instructions.

3. Refer to MA-2270 , Long-Term Care Need and Budgeting for instructions on allowable deductions in Step II of patient monthly liability computation in LTC budgeting. Count total adjusted gross income after deducting operational expenses for self-employment income.

4. If income is expected to change, create a task in NC FAST for the case to be reviewed at the time of change and recalculate per instructions for change in situation.