Page 538
538 (07/2026) Chapter 2:Eligibility • Section 10: Long-Term Care (LTC) services • Deduct a dependent income allowance for each eligible dependent as follows:
For a case with a community spouse, a deduction is permitted only if the monthly income of the eligible dependent is below $2,643.13 To determine the eligible dependent’s income allowance, subtract the monthly income of the eligible dependent from $2,643.13 and calculate one-third of the amount remaining after the subtraction. This is the income allowance of the eligible dependent.
For a case with no community spouse, the allowance is the TANF adjusted income standard for the individual and eligible dependents. The TANF standard is not reduced by the dependent’s income. • Deduct costs for maintaining a home if the individual is in a nursing facility and meets ODHS|OHA criteria. The amount allowed is the individual’s total housing costs, including taxes and insurance, plus the SNAP Limited Utility Allowance (LUA).
A physician must document the individual is likely to return home within six months from the date they entered the nursing facility. Note: This is not considered a shelter exception or accommodation allowance. A shelter exception/ accommodation allowance is a special need paid to the individual and has different criteria (see Medical Related Payments for more info). In general, the deduction is only for single individuals who are expected to be in a nursing facility temporarily. There is no requirement that the individual receive in-home services upon discharge, such as with the accommodation allowance. The deduction cannot be used to supplement the accommodation allowance. • Deduct allowable medical costs. The balance is the adjusted income. Click here for examples: Calculating the liability. Oregon Administrative Rule(s) 461-145-0405 — Plan for Self-support 461-160-0610 — Patient Liability; OSIPM (except OSIPM-EPD) 461-160-0620 — Income Deductions and Patient Liability; Long-Term Care Services or Home and Community- Based Care; OSIPM 461-160-0630 — Deduction for Maintaining a Home; Nursing Facility Care Client 461-175-0225 — Notice Situation; Institution/Income and Resource Allowances