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Expenses that were incurred in the three (3) months prior to the month the request for payment of LTSS services is submitted can be deducted beginning in the first month of eligibility. 6. Excess Carryover – The excess amount of an allowable expense can be carried forward and used as a deduction in future months when the amount of the expenses combined exceeds the amount of income remaining after all other deductions. 8.8 Institutional Limited Home Maintenance Allowance A. A home maintenance allowance is available for either a single LTSS beneficiary, in addition to the personal needs allowance, when residing in a health care institution and if there is an intent to return home. The allowance is equal to up to one hundred percent (100%) of the FPL for a family size of one (1). The home maintenance allowance counts toward the maximum monthly maintenance of standard. 1. Access to the Home Maintenance Allowance – To obtain the home maintenance allowance, the following conditions apply: a. Time limits. The deduction from income resulting from the home maintenance allowance cannot be allocated for more than six (6) months in any continuous period of Medicaid LTSS in a health care institution. b. Certification. A licensed physician must certify that either LTSS beneficiary or both are likely to return to the home during the six (6) month period. The allowance ceases once a beneficiary is discharged and returns to the home. c. Home Expenses. The LTSS beneficiary or beneficiaries has expenses that are required to maintain a residence (owned or rented) in the community including, but not limited to, taxes, rent, mortgage payments, utilities, and insurance; and d. Other Resident Family Members. A spouse, dependent child or other person who is or could be claimed as a dependent for Federal income tax purposes was not residing in the home at the time the beneficiary was admitted to the LTSS health care institution; or, if both spouses are LTSS beneficiaries, they were admitted to a health care institution on the same day. 2. Application of the Allowance – In instances in which LTSS beneficiaries qualify for the home maintenance allowance, it must be provided as follows: