Arkansas Department Of Human Services Long Term Care Application For Assistance Page 2

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The following programs are available for facility and non-facility care for individuals with
long-term medical needs. These programs have common income and resource requirements.
Income Limit
The income limit for all of the following programs is three times the current SSI
Standard Payment Amount (SPA) for an individual. The income limit for 2007 is
$1,869. The income limit increases at the first of each calendar year. Only the
income of the applicant is counted toward this limit. In some categories, if there is a
non-institutionalized spouse, the spouse may be eligible to keep all or a portion of the
institutionalized individual’s income.
Resource Limit
The resource limit for the covered individual is $2,000. In some programs, if the
covered individual has a spouse, the spouse may be eligible to keep all or a portion of
the total spousal resources. See Resource Rule.*
Nursing Facilities
Institutions that provide medically necessary care 24 hours per day for residents who require
skilled nursing care, rehabilitation services or health-related care and services above the level
of room and board and not primarily for the care and treatment of mental diseases. Recipients
receive the full range of Medicaid benefits. Medicaid also pays all or a portion of monthly
facility vendor payment depending on the monthly income to be considered.
Individuals in Nursing Facilities with income over the current limit may become eligible for
Medicaid by establishing an Income Trust. The DHS caseworkers have information about
Income Trusts.
Non-institutionalized spouses of Nursing Facility recipients are eligible for the division of
spousal resources and income.
In addition to being income and resource eligible, the Nursing Facility resident must be aged,
blind or disabled and require medical care of a certain level, determined by the Office of
Long Term Care.
Assisted Living Facilities Level II
Facilities that provide assistance with activities of daily living to individuals in a residential
setting. Living units and common space are provided to address all activities of daily living
on a 24-hour basis. Individuals in Level II Assisted Living Facilities are eligible for the full
range of Medicaid benefits. Room and board cost are not included in the waiver coverage.
Individuals with income over the current limit may become Medicaid eligible by establishing
an Income Trust. Non-institutionalized spouses of Assisted Living Facility recipients are
eligible for the division of spousal income and resources.
Assisted Living Facilities Medicaid requires an Intermediate Level of Care as determined by
the Office of Long Term Care. Individuals requiring Skilled Care are not eligible for this
program.
ElderChoices (Alternative Community Services Program for the Aged)

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