How to Complete the Title XIX Worksheet (Community Spouse)

Instructions on Completing the MA-12

Spousal Impoverishment

When the LTC applicant has a Spouse The intent of this policy is to ensure the community spouse (CS) avoids being left with nothing. Income is determined separately for an individual and his/her spouse for ADvantage, Nursing Home Care and Home Community Base Waiver/Intellectually Disabled (HCBW/ID) services. If the CS’s monthly gross income is less […]