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27.5.1 ILTC Assets ................................................................................................................................. 382 27.5.2 ILTC Income ................................................................................................................................ 382 27.5.3 Divestment ................................................................................................................................. 383 27.5.4 Instructions for Manual Eligibility Determinations .................................................................... 383 27.6 ILTC Monthly Need............................................................................................................................ 383 27.6.1 Intermediate and Long-Term Care Monthly Need Introduction ............................................... 383 27.6.2 Hospitalized Persons .................................................................................................................. 384 27.6.3 Both Spouses Institutionalized ................................................................................................... 384 27.6.4 Health Insurance ........................................................................................................................ 384 27.6.4.1 Nursing Home and Hospital Insurance ............................................................................... 384 27.6.4.2 Assignment of Nursing Home and Hospital Insurance Payments....................................... 384 27.6.5 Support Payments ...................................................................................................................... 385 27.6.6 Fees to Guardians or Attorneys ................................................................................................. 385 27.7 Cost of Care Calculation .................................................................................................................... 385 27.7.1 Introduction ............................................................................................................................... 385 27.7.2 Hospitalized People.................................................................................................................... 386 27.7.3 Partial Months............................................................................................................................ 386 27.7.3.1 Death ................................................................................................................................... 386 27.7.3.2 Community and Nursing Home ........................................................................................... 386 27.7.4 Transfers Between Institutions .................................................................................................. 387 27.7.5 Retroactive Cost of Care ............................................................................................................ 387 27.7.6 Personal Needs Allowance ......................................................................................................... 387 27.7.7 Medical or Remedial Expenses .................................................................................................. 387 27.8 ILTC Nursing Home Contracts ........................................................................................................... 388 27.9 ILTC Nursing Home Refunds .............................................................................................................. 389 27.10 ILTC Liability Effective Dates ........................................................................................................... 389 27.11 Institutions for Mental Diseases (IMDs) ......................................................................................... 390 28.1 Adult Home and Community-Based Waivers Long-Term Care Introduction .................................... 392 28.1.1 Adult Home and Community Based Waivers Long-Term Care Disability Policy ........................ 393 28.1.2 Family Care ................................................................................................................................. 394 28.1.3 Family Care Partnership ............................................................................................................. 394 28.1.4 PACE ........................................................................................................................................... 395 28.1.5 IRIS ............................................................................................................................................. 395 28.1.6 Changing Programs .................................................................................................................... 395 28.1.7 Spousal Impoverishment ........................................................................................................... 395