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d. Property tax (including special assessments). e. Utilities (heat, water, sewer, electricity). f. Room amount for members in a CBRF, Residential Care Apartment Complex, or Adult Family Home. The case manager determines and provides this amount. Waiver participants under age 18 do not qualify for the special housing amount deduction. If two spouses who are both waiver participants live together (or they have separate rooms in a substitute care facility, but there is only one room and board contract) the special housing amount deduction is allocated between them in the way that results in the lowest total cost share for the couple. Example 1 Jennifer and Markus are married and live together. Both are waiver participants. Their total housing costs are $1,600. The special housing amount is calculated as $1600 − $350 = $1250. Before deducting the special housing amount, Jennifer has a cost share of $800 and Markus has a cost share of $500. To get the lowest total cost share for the couple, $500 of the special housing amount is allocated to Markus, reducing his cost share to $0. The remaining $750 of the special housing amount is allocated to Jennifer, reducing her cost share to $50.

Example 2 Dan and Allison are married and live together. Both are waiver participants. Their total housing costs are $1,075. The special housing amount is calculated as $1,075 − $350 = $725. Before deducting the special housing amount, Dan has a cost share of $1,200. Allison is eligible for Group A waivers with no cost share. To get the lowest total cost share for the couple, the full $725 special housing amount is allocated to Dan, reducing his cost share to $475. If two spouses who are both waiver participants have separate living arrangements (e.g., they reside in two different substitute care facilities, or they reside in the same substitute care facility but each has a private room and a separate room and board contract) a separate special housing amount is calculated for each based on their individual housing costs. If the total of 1, 2, and 3 above is greater than the Community Waivers Personal Maintenance Allowance Maximum, the maximum amount is used. See SECTION 39.4.3 LTC POST-ELIGIBILITY ALLOWANCES for the current Community Waivers Personal Maintenance Allowance Maximum. 28.6.3.2 Family Maintenance Allowance A family maintenance allowance, an amount to be used for the support of the applicant’s family members, should only be deducted from income when calculating cost share in certain cases. The family maintenance allowance may not be used for a deduction when spousal impoverishment policies apply or if the member is a disabled child. For spousal cases, the institutionalized person can allocate income to the community spouse and children in the home, see SECTION 18.6 SPOUSAL IMPOVERISHMENT INCOME ALLOCATION. 28.6.3.2.1 Family Maintenance Allowance Calculation - Minor Child When the waiver participant has one or more children under the age of 18 who do not live with a community spouse, an allowance for those children is calculated as follows: 1. Determine the total gross monthly income of the member's children under age 18 who are not living with a community spouse. No exclusions, disregards, or deductions apply.