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Medical Services Policy Manual, Section H

H 400 Post Eligibility

8. Net Income After deduction of any applicable excluded earnings, income trust fees, personal needs allowance, maintenance allowances, court-ordered child support, court-ordered spousal support, and non-covered medical expenses, the net amount remaining will be the amount the individual is expected to apply to the cost of care. If all of the IS’s gross income is depleted at any step in the computation, the amount applied to the vendor payment (cost of care) will be zero dollars ($0). After the post-eligibility budget is completed, a copy of the information will be provided to each spouse. If the budget is completed prior to application, at the request of either spouse, the information will only be provided to the spouse making the request. H-412 Contribution to the Cost of Care for Assisted Living Facilities MS Manual 08/29/22 Assisted Living Facility (ALF) Waiver recipients are allowed to keep a flat ninety and eight hundredths of a precent (90.8%) rounded up of the SSI/SPA for room and board. This will allow the individual to purchase food from the facility, or elsewhere, if they prefer. In addition to the charge for room and board, a monthly personal allowance will be deducted. The personal allowance will be based onnine percent (9%) of the SSI/SPA and rounded up. Both will increase each January with the SSA/SSI Cost of Living Increases. See Appendix S for current amounts. The following expenses are to be deducted from the cost of care for the ALF recipient in the following order: 1. Room and board payment NOTE: If the individual is receiving assistance through HUD, the deduction can only be for the amount the individual is actually paying. 2. Personal needs allowance (PNA) 3. Court-ordered child support and court-ordered spousal support 4. Monthly medical insurance premiums 5. Non-covered medical expenses including over-the-counter medications and medical supplies