5
Long Term Services and Supports (LTSS)
LTSS are additional services and supports for people who are
determined clinically eligible. Clinical eligibility means that
they require assistance with three or more activities of daily
living, such as mobility assistance, dressing, bathing, eating
and other self-care. These individuals may need nursing
home placement or choose to live in their community, such
as an assisted living type setting or in their home. LTSS can
help people remain in their homes and communities by
providing extra services such as, but not limited to, personal
care, home-delivered meals, and care management.
To qualify for LTSS, an applicant must be both clinically and
financially eligible. The local County Welfare Agency will do
the financial evaluation using information provided in the
Aged, Blind, Disabled Application while the Division of Aging
Services is responsible for the clinical eligibility determination
for LTSS. The two evaluations are completed concurrently
and are coordinated between both agencies.
An individual determined clinically eligible by the Division of
Aging Services qualifies at a higher income limit of $2,829
per month for a single person with a resource maximum of
$2,000 in 2024.
In determining financial eligibility, if the gross monthly
income exceeds the income limit allowed, he or she can
establish and fund a Qualified Income Trust (QIT) with the
excess income that is above the limit. More information
about a QIT is found on Page 9 under Qualified Income Trust.
The financial eligibility process also includes a five year look-
back of the applicant’s financial accounts and resources to
determine if there have been any assets transferred for less
than fair market value. To be eligible, a person applying for
LTSS must disclose all income and all resources from the
past 5 years.