Page 2

2

5000.00.00 OVERVIEW OF SUPPLEMENTAL ASSISTANCE FOR PERSONAL NEEDS Supplemental Assistance for Personal Needs (SAPN) payments, established by Indiana PL 294- 2001, became effective July 1, 2002. With this enactment, eligible individuals residing in health care facilities can receive a supplemental payment from the state in an amount up to $22 per month. Payments are issued directly to the eligible individual, or if they prefer, they can have payments sent to a Representative Payee. 5005.00.00 SAPN ELIGIBILITY To be eligible for Supplemental Assistance for Personal Needs payments, individuals must be receiving Medicaid, residing in a Medicaid-certified health care facility throughout the calendar month for which the benefit is issued, and receiving a $30 reduced SSI benefit.1

For recipients who no longer meet these qualifications, ineligibility begins the month following the month in which any one of these criteria is no longer met. A deceased SAPN recipient is entitled to payment for the month of the death.2 5005.05.00 BENEFIT CALCULATION SAPN payments are not countable income in the Medicaid determination. The payments are not counted in the eligibility step nor in the post-eligibility calculation of the liability.3 The SAPN benefit can range from $1.00 to $22.00 and is based on the calculation of budgeted earned and unearned income subtracted from the $52.00 Medicaid Personal Needs Allowance.4 5005.10.00 BENEFIT ISSUANCE Recipients are eligible for SAPN payments beginning the later of the following: • The month in which their SSI is reduced from the community rate to the $30 amount allowed for SSI beneficiaries in health care facilities, or • The month after the individual’s Medicaid eligibility has been authorized with a post- eligibility budget.5 The SAPN benefit amount determination and issuance authorization is accomplished systematically. The worker’s responsibility with this program is to establish and maintain the Medicaid case properly. To ensure proper and timely issuance of payments, adherence to the change processing guidelines in Chapter 2220.00.00 is essential.