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The adult services case manager, after completing an

assessment with the a/b, will notify the SA IMC of assessment results using the DSS-0031 SAIH Program Interagency Transmittal Form when approving the SAIH application, or at redetermination.

III. COUNTABLE INCOME FOR CALCULATION OF

PAYMENT

A. When calculating the amount of the SAIH payment, count

only the income of the a/b.

B. The $20 general income exclusion does apply when

calculating the SAIH Payment.

See SA-3210, Income for instructions on calculating total countable monthly income (TCMI).

C. Do not consider the applicant’s income in calculating the

partial month payment during the application process.

IV. CALCULATING THE SAIH PAYMENT

A. Income Limit

1. Compute Total Countable Monthly Income (TCMI) after all deductions

according to instructions in SA-3210, Income.

2. The $20 general income exclusion, when applicable, is applied when

calculating the TCMI. Do not apply this exclusion again when

calculating the SAIH payment.

3. For the SA Basic rate, if the a/b’s TCMI is $1,466.51 or more, the

a/b is not eligible for SAIH.

4. For the SA Enhanced rate, if the a/b’s TCMI is $1,861.51 or more, the a/b is not eligible for SAIH.

B. Calculating the Maximum SAIH Payment

SA-5300 II-IV.