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• The source and amount of all income and/or resources and the amounts of each that are to be used in the plan • The length of time the plan is to operate • Any other pertinent information including documentation from the Social Security Administration of an SSI recipient's approved PASS. This letter is to be recorded in the case record with one copy being given to the applicant/recipient, one copy being sent to the OMPP Eligibility Unit at 402 W. Washington Street, MS 07, W374, Indianapolis, IN, 46204, and one copy being retained in the case record. The OMPP will forward a copy to the Blind and Visually Impaired Section of the DMHA for their recommendation. OMPP will then review the self- support plan and recommendation from the Blind and Visually Impaired Section of the Division of DMHA and notify the DFR by letter of approval or disapproval. The DFR will then notify the applicant/recipient. If the plan is approved, the amount of income and resources disregarded and time period for the disregard, must be documented in the case record. A Medicaid approved PASS is coded in the eligibility system as PM. In the QMB, QDW, SLMB, and QI eligibility determinations of SSI recipients who have a PASS approved by the Social Security Administration, a separate approval from the Central Office is not required. A copy of SSA's documentation should be obtained and filed in the case record. An SSI PASS is coded in the eligibility system as PS. A PASS under the MA B category can be approved for a period not to exceed 12 months. For MA L, MA G, MA J, and MA I the PASS exemption will be for at least 18 months and may be extended up to 36 months. 2626.00.00 INDEPENDENCE AND SELF-SUFFICIENCY ACCOUNTS (MED 1) This section applies to MADW and MADI. Funds that have been set aside by the applicant/recipient for “independence and self-sufficiency” are disregarded as resources in an amount up to $20,000 as approved by the Central Office of the Family and Social Services Administration.58 The purpose of an Independence and Self-Sufficiency Account (ISSA) is to allow the MEDWorks member to save money in order to purchase goods or services that will increase or maintain their employability or independence. An ISSA will not be approved for any item or service that the person is entitled to receive under Medicaid or any other public program. Accounts for general savings or personal recreation will not be approved. State Form 50929, MEDWorks Request for Independence and Self-sufficiency Account, is to be provided to any Medicaid applicant or recipient in MADW/I who answers “Y” to the question on the Disabled Worker Information screen. A 30-day due date is to be specified; however, a denial of an