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CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

227 applied to the Medicaid reimbursement for the cost of care. That patient payment is calculated by: i) Determining all applicable income of the recipient ii) Deducting all applicable allowable monthly income adjustments, which include: 1) Personal Needs Allowance 2) If applicable, Monthly Income Allowance for the community spouse. 3) If applicable, Family Dependent Allowance 4) If applicable, Home Maintenance Allowance 5) If applicable, Trustee/Maintenance Fees: actual fees, with a maximum of $20 per month 6) If applicable, Mandatory Income Tax Withheld 7) Mandatory garnishments repaying Federal assistance overpayment 8) Medical or remedial care expenses that are not subject to payment by a third party: a) Medicare Part B Premium expenses, if applicable, are deductible only for the first and second month in the Nursing Facility. b) Medicare Part D Premium expenses, if applicable, are ongoing deductions. c) Other medical and remedial expenses covered under the Nursing Facility PETI (NF PETI) program are not deductible. NF PETI-approved expenses are allowed only for residents with a patient payment, but do not change the patient payment amount. For NF PETI,