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stay will be treated as if the person had resided in the institution for 30 consecutive days beginning the date of the most recent admission.
Whenever a LTC recipient enters a hospital, the facility is to collect the liability in the usual manner and apply it toward the nursing home charges for the month. Any remainder is to be shown as a credit on the recipient's account and applied toward subsequent month(s)' charges. 3455.15.05 EXEMPT INCOME IN POST-ELIGIBILITY BUDGETING (MED 1) In post-eligibility, the total income of the individual who is institutionalized is counted except as specified below: • SSI payments made to a recipient who is in 1619 status who enters a Medicaid certified facility will not be reduced to $30 and are not to be counted as income for the first two full months of institutionalization.14 • The SSI payments made for 90 days to recipients who are temporarily institutionalized are exempt. The SSA issues a special notice to these recipients indicating they are receiving benefits under P.L. 100-203. The DFR must retain a copy of this notice in the recipient's casefile unless it is verified on DESX. • The maximum SSI payment for a recipient in a Medicaid certified facility is $30 unless they are receiving benefits under P.L. 100-203. However, the full benefit amount may be erroneously paid for a few months to an individual just entering a facility. These erroneous payments are exempt if documentation is provided that the individual has repaid SSI for benefits received before the reduction to $30. Otherwise, they are budgeted as income in post-eligibility. • The reduced VA benefit of $90 payable to a veteran or veteran's widow in a Medicaid certified facility is exempt.15
• German reparation payments are exempt.16
3455.15.10 DEDUCTIONS FROM INCOME IN POST-ELIGIBILITY (MED 1) The policies in this section apply to the MA A, MA B, MA D, MADW, and MADI categories of assistance. The deductions listed below are to be subtracted from the member’s non-exempt income. The standard personal needs allowance (See IHCPPM 2840.10.10 and 3010.20.10) is deducted and can be spent by the individual in any way the member chooses. An additional amount may be deducted in the specific situations explained below: • Sheltered workshop earnings and earnings which are part of a habilitation plan are budgeted in a special manner. Note that this deduction is called an increased