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(2) Count total VA benefit received in excess of the $90 improved pension, including Aid and Attendance (A&A) and unreimbursed medical expenses (UME), for veterans who reside in a North Carolina State Veterans Nursing Home.

c. Subtract Operational Expenses

Subtract operational expenses from income-producing real/personal property, or from income produced through the operation of a business. (Refer to MA-2250, Income.)

d. Subtract the Special Personal Needs Allowance. Refer to VI. below.

2. PACE Beneficiary Residing in a Nursing Facility Permanently

If financial eligibility exists, proceed to determine the a/b’s share of cost.

a. Permanent placement in a nursing facility by PACE is defined as 6 months or longer. PACE beneficiary residing in a nursing facility continue to be enrolled and authorized for PACE services. The PACE organization is responsible for payment to the nursing facility as long as the beneficiary continues to be enrolled in PACE.

b. Establish Gross Income

Establish gross amounts of all types of income, earned or unearned, that are countable based on policy in MA-2250, Income.

(1) Count actual amount of SSA benefit received if it is reduced to recoup an SSA overpayment.

(2) Count total VA benefit received in excess of the $90 improved pension, including Aid and Attendance (A&A) and unreimbursed medical expenses (UME), for veterans who reside in a North Carolina State Veterans Nursing Home.

c. Subtract Operational Expenses

Subtract operational expenses produced on income-producing real/personal property, or from income produced through the operation of a business. (Refer to MA-2250, Income.)

d. Subtract Personal Needs Allowance. Refer to VI. below.

VI. ALLOWABLE DEDUCTIONS

A. PACE Beneficiary– Residing at Home or Temporarily in Another Health Care Setting or a Nursing Facility