Expense Changes

Changes in expense evidence for the institutionalized individual can potentially affect allowable income deductions and the post eligibility cost of care amount - the system will trigger reassessment to run the Income rules for a single institutionalized individual. Providing the individual is still eligible the system will run the post eligibility rules to determine the new contribution towards cost of care.

Expense changes for a spouse will trigger reassessment to run the post eligibility rules to redetermine the cost of care. Expense changes for any other household member will have no effect on the institutionalized individual's Long Term Care coverage but may impact their cost of care liability.