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Members who have met a deductible are eligible for community waivers as Group A. The member remains eligible as Group A until the end of the deductible period. At the next review the member will be able to make a choice between meeting the deductible to receive Medicaid (remaining a Group A) or becoming eligible for community waivers as Group B or B Plus with a potential cost share. Individuals eligible as Group A have no CARES cost share obligation. 37.4.2 Group B and B Plus Group B members are defined as those not in Group A, but who have gross income at or below the nursing home institutions categorically needy income limit (see SECTION 39.4 ELDERLY, BLIND, OR DISABLED ASSETS AND INCOME TABLES). Group B Plus members are defined as those not in Group A, who have gross income above the nursing home institutions categorically needy income limit, but whose income does not exceed the cost of the appropriate institutional care by more than the medically needy income limit (see SECTION 39.4 ELDERLY, BLIND, OR DISABLED ASSETS AND INCOME TABLES). Group B and B Plus members do have a cost share, including CLTS participants who are enrolled in HCBW Medicaid. 37.4.3 Calculating a Cost Share for HCBW Members Cost sharing is the monthly amount a HCBW member may have to contribute to the cost of their waiver services. Only the income of the member is counted when calculating the cost share. CWA staff submits the Medicaid Waiver Eligibility and Cost Sharing Worksheet, F-20919 to IM at application or review when an individual needs a CARES source of Medicaid. The cost share amount for HCBW Medicaid is calculated in CARES following the process outlined in SECTION 28.6.4 COST SHARE AMOUNT. Note: Not all deductions apply to CLTS participants who are under age 18. Do not apply the special housing amount or the family maintenance allowance to minors. If the CLTS participant is married, spousal impoverishment policies do apply. This page last updated in Release Number: 24-02 Release Date: 08/22/2024 Effective Date: 04/01/2024 37.5 CLTS Parental Payment Following the procedures of the Uniform Fee System (Wis. Admin. Code ch. DHS 1), CWA staff determines if the parent(s) must contribute toward the CLTS supports and services their child receives. The Parental Payment Fee is calculated separately from an HCBW cost share by the CLTS case manager. This page last updated in Release Number: 19-01 Release Date: 4/19/2019 Effective Date: 4/19/2019 38.1 Reserved This page last updated in Release Number: 19-01 Release Date: 4/19/2019 Effective Date: 4/19/2019