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in March her cost share is reduced to $600/month. In early September, Alice’s care manager reports her medical expense for October will be $0. Her cost share is recalculated for October and returns to $1100/month. 28.6.4 Maximum Cost Share Amount For Family Care, Family Care Partnership, and PACE, see SECTION 39.4.5 FAMILY CARE, FAMILY CARE PARTNERSHIP, OR PACE GROUP B PLUS COST SHARE CAP for maximum cost share amount. 28.6.5 Waiver or Reduction Cost Share Family Care, Family Care Partnership, or PACE members may request a waiver or reduction of their cost share from the Department. Members indicating that they are having difficulty paying cost share should be informed of this right, directed to complete the Application for Reduction of Cost Share form (F- 01827), and referred to the Bureau of Adult Programs and Policy (1-855-885-0287). This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 08/12/2026 28.7 HCBWLTC Medical Codes See the Process Help Section 24.22.1.3 Home and Community Based Waivers for Community Waiver medical status codes. These are not the same codes as nursing home medical status codes. A medically needy Medicaid member could be eligible as a categorically needy waiver member (Group B), thus requiring a change in the medical status code from medically needy to categorically needy. This page last updated in Release Number: 19-01 Release Date: 4/19/2019 Effective Date: 4/19/2019 28.8 HCBWLTC Care Review IM reviews financial eligibility annually. The care manager reviews level of care eligibility annually. Eligibility should not be discontinued if the care manager has not yet made the level of care review. The care manager informs the IM agency if the person is no longer level of care eligible. IM must notify the care manager if the person is no longer Medicaid eligible. This page last updated in Release Number: 19-01 Release Date: 4/19/2019 Effective Date: 4/19/2019 28.9 HCBWLTC Community Spouse's Medicaid Application When a community waivers person and his or her community spouse are both applying for Medicaid, they are one case, but separate AGs. Both spouses are in the non-waiver spouse’s fiscal test group (FTG). Since the waiver spouse is in the FTG, disregard any income that may have been allocated by the waiver spouse to the community spouse.