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c. Personal Needs Allowance for non-discretionary mandatory deductions:
This deduction could be from unearned retirement income of a beneficiary in any level of care. It could also be from earned income of an ICF-MR beneficiary.
(1) Subtract mandatory withholdings when the payer of the income verifies that the a/b has no choice (no discretion) in whether these amounts are withheld.
(2) These deductions are limited to:
(a)Federal, state, and local income taxes;#
(a) Federal, state, and local income taxes;
(b)Mandatory retirement contributions; and#
(b) Mandatory retirement contributions; and
(c)FICA.#
(c) FICA.
d. Personal Needs Allowance for work incentive:
This is limited to ICF-MR beneficiaries who have earned income from work activities. Subtract the monthly incentive allowance after any mandatory deductions for withholding from earned income.
***Net wages means after mandatory deductions from earned income***
Monthly Net Wages Monthly Incentive Allowance
$ 1.00 to $100.99 All up to $ 50.00
$ 101.00 to $200.99 $ 80.00
$ 201.00 to $300.99 $ 130.00
$ 301.00 and greater $ 212.00
4. Subtract Community Spouse Allowance
Deduct income required for the support of a community spouse. Refer to VI., below, to calculate the community spouse income allowance.
5. Subtract allowance for dependents when there is a community spouse.
Deduct income required for the support of other dependents at home. Refer to VII., below, to calculate this allowance.
6. Subtract $242 Maintenance Allowance when the a/b is expected to return home within 6 Months from the date their CPI began and they has no spouse at home. See V.D. for policy on return home within 6 months.
Docusign Envelope ID: 950E9248-29CC-8930-81BC-BCEC667EB493