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MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID 1. Personal Needs Allowance a) Deduct $154 personal needs allowance (PNA) for each month of institutionalization. b) Additional personal needs – Institutionalized individuals with no community spouse living in the home but with other dependent family members in the home are allowed an additional personal needs allowance based on household size. The additional personal needs amount is determined by subtracting the 1996 needs standard of $459 from the current TANF need standard for the household size. Note: this requires a NOMADS work around. 2. Community Spouse Monthly Income Allowance Income allocated to the community spouse for maintenance. This amount (if any) is determined by subtracting the community spouse’s income which is considered available (including need based assistance like TANF, SSI, etc.) from the monthly maintenance allowance. DO NOT count VA UME as income considered available to the community spouse. Clients do not have to request the maintenance allowance for their spouse/dependents. The case manager will automatically request the information necessary to determine the maintenance allowance when there is a spouse or dependents at home. 3. Family Allowance (Spousal Impoverishment) Family members must be a dependent child, dependent parent(s) or dependent sibling(s). The child, parent or sibling must be residing in the home of the community spouse AND claimed by the community spouse or institutionalized spouse as dependents for federal income tax purposes. The amount determined to be the family allowance is deducted from the institutionalized spouse's countable income effective with the first month in which the continuous period of institutionalization is met OR if this deduction was not previously allowed the deduction will be allowed effective the first month following the month in which the change is reported. The family allowance deduction need not be determined IF the $154 personal needs allowance in combination with the community spouse monthly income allowance zero's out the patient liability. F-325.5 Division of Welfare and Supportive Services LONG TERM CARE SERVICES Medical Assistance Manual PATIENT LIABILITY BUDGETING PROCEDURES 24 Sept MTL 05/24