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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 33 Chapter 24 Long Term Care

-$811.50 30% Min. SMS (Community Spouse Housing Allowance) $306.50 Excess Shelter/Utilities +$2,705.00 Min. SMS $3,011.50 -$1,150.00 Total gross monthly countable income of Community Spouse $1,861.50 CSMA (rounded up per CSMA calculation) Family Maintenance Deduction $2,705.00 Min. SMS -$685.00 Income (Family Members) $2,020.00 Remainder ÷ 3 = $674.00 FMA (rounded up per FMA calculation) $3,000.00 Income (Institutionalized individual) -$50.00 Personal Needs $2,950.00 Remainder $1,862.00 CSMA $1,088.00 Remainder -$674.00 FMA $414.00 Remainder -$187.10 Medicare premium and doctor bill $226.90 Resource and total contribution toward his care The client has a $226.90 resource to contribute to his care. Because there is a community spouse, the spenddown amount determined in the eligibility process is not subtracted as a non-reimbursable medical expense and is not added to the resource to determine his total contribution. 24.7.8 SPLIT MONTHS When the client resides in more than one nursing care facility during the same calendar month, the Worker must determine the portion of the client's contribution to cost of care which must be paid to each facility. The Worker follows the steps below to determine how much of the client's total contribution must be paid to the first facility he entered. If the client's total contribution must be paid to the first facility, no additional calculation is required. If not, the amount(s) paid to the