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Excluding the Special 100% poverty level PNA deduction, the total deduction for all types of personal needs allowances listed below cannot exceed the medically needy maintenance level for an individual ($242).

Special Personal Needs Allowance (SPNA) – amount equal to 100% Poverty Level

1. PACE individuals living in the community have greater needs for shelter, food, and clothing. In order to meet these needs, PACE beneficiaries receive a special personal needs allowance in the amount of 100% of the Poverty Level. This replaces the $30 personal needs allowance. For a married PACE couple, each spouse receives a Special Personal Needs allowance in the amount of 100% of the Poverty Level.

2. If necessary, PACE individuals may be temporarily placed in another health care setting or a nursing facility by the PACE organization. No budgeting changes are made during the temporary status and the PML remains unchanged. Temporary placement in another health care setting or a nursing facility is defined as less than six months. When a PACE individual is temporarily placed in a nursing facility, the DHB-5106, PACE/Medicaid Referral, is used as verification of temporary placement.

3. The living arrangement code remains unchanged during temporary nursing facility placement. Refer to NC FAST job aid: Program of All-inclusive for the Elderly (PACE)

4. Court ordered guardianship fees. Refer to MA-2270, Long-Term Care Need and Budgeting.

5. Non-discretionary mandatory deductions. Refer to MA-2270, Long-Term Care Need and Budgeting.

6. Unmet medical needs. Refer to MA-2270, Long-Term Care Need and Budgeting.

7. Personal needs allowance for work incentive. Refer to MA-2270, Long-Term Care Need and Budgeting.

B. Personal Needs Allowance for PACE Beneficiary – Permanently Residing in a Nursing Facility

The total deductions for all types of personal needs allowances listed below cannot exceed the PLA medically needy maintenance level for an individual ($242).

Personal Needs Allowance – $30 for a PACE individual or $60 for a married PACE couple residing permanently in a nursing facility and who share a room.

1. If necessary, PACE beneficiaries may be permanently placed in another health care setting or a nursing facility by the PACE organization. When permanent placement is required, the PACE beneficiary’s needs decrease and the 100%