A STTs and Income Calculations

 

Programs	Manual Section
ALTCS	MA803E

 

1) Income Only Trust - Customer in a Nursing Facility

The customer receives a total of $2,500.00 per month from two pensions. Both pensions are assigned to an income only trust. In 2025, the customer’s share of cost (SOC) is $2,354.95 and his personal needs allowance (PNA) is $145.05.

The trustee pays the SOC from the trust directly to the nursing facility and writes a check to the customer for the PNA. There are no other payments made from the trust.

The SOC payment is not counted as income, but the $145.05 paid to the customer for his personal needs is counted. The customer’s total counted income is $145.05.

 

2) Income Only Trust – Customer Lives at Home

The customer receives $2,000.00 from Social Security and $1,000.00 from a pension. Both the Social Security and the pension are assigned to her Income-Only Trust. In 2025, her SOC is $99.00, and her PNA $2,901.00. There are no other payments made from the trust.

The SOC payment is not counted as income, but the $2,901.00 paid to the customer for her personal needs is counted. The customer’s total counted income is $2,901.00.

 

3) Trust for a Person Under Age 65 with a Disability – Customer child lives with parents

The customer is an eight-year-old child living at home with his parents. He does not receive any income of his own. In the past he received a large injury settlement, which was put into a Trust for People Under Age 65 with a Disability. The trustee expects to issue the following payments every month:

• $15.00 to the customer for spending money;

• $100.00 to the grocer for his special food;

• $150.00 to medical providers for medical supplies;

• $200.00 to the insurance company to insure the specially equipped van, which is owned by the trust; and

• $100.00 to the trustee for fees related to administering the trust.

 

Since only payments for shelter or payments made directly to the customer are counted as income when determining ALTCS eligibility, the customer’s total counted income is $15.00. 

 

4) Trust for a Person Under Age 65 with a Disability – Customer lives in a Nursing Facility

The customer lives in a nursing facility and has a trust for a person under age 65 with a disability. The only income source is $680 per month in Social Security benefits. The Social Security income is not assigned to the trust.

The trustee expects to issue two payments each month:

• $50.00 paid to the grocery store for special foods for the customer; and

• $125.00 paid to the pharmacy for prescriptions, personal care items, and sanitary wipes.

 

The customer’s total counted income is $680.00 from Social Security.