Eligibility for Adult Category Medical Assistance Nursing Care
(a)The nursing facility cap shall be 300% of the maximum…#
(a) The nursing facility cap shall be 300% of the maximum SSI benefit for an eligible individual as determined in accordance with 20 CFR 416.410, adjusted by cost-of-living increases pursuant to 20 CFR 416.405.
(b)The individual shall be income eligible for nursing…#
(b) The individual shall be income eligible for nursing facility care as categorically needy when the individual’s monthly gross income, as defined in He-W 601.04(o), is less than or equal to the nursing facility cap specified in (a) above.
(c)The individual shall be income eligible for nursing…#
(c) The individual shall be income eligible for nursing facility care as medically needy when:
(1) The individual's monthly gross income, as defined in He-W 601.04(o), exceeds the nursing facility cap specified in (a) above; and
(2) The individual’s net income, as defined in He-W 601.05(v), is less than or equal to the monthly medicaid nursing facility rate, as defined in He-E 806.01(aa).