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UPDATED: JUNE 2010
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INCOME PERSON IN MEDICAL FACILITIES
CHRONIC CARE BUDGETING METHODOLOGY FOR INSTITUTIONALIZED SPOUSES
personal injuries sustained by veterans resulting from exposure to dioxin or phenoxy herbicide in connection with the war in Indochina in the period of January 1, 1962 through May 7, 1975.
Children - Monthly allowances paid to certain Vietnam Veterans’ Children with Spina Bifida.
To determine the institutionalized spouse's eligibility for Medicaid and the amount of his/her income to be applied to the cost of care, deductions are made in the following order: (a) An amount to meet the personal needs (PNA) of the institutionalized spouse.
The first month or partial month of permanent absence, determine the institutionalized spouse's income and subtract SSI-related disregards from income to arrive at the countable monthly income. Subtract the Medically Needy Income level for one or the Medicaid Standard for one, whichever is higher.
The month following the month in which permanent absence is established, subtract the appropriate Personal Needs Allowance (PNA) from the institutionalized spouse’s income. The A/R is no longer allowed the SSI-related income disregards.
When the A/R has no earned income and resides in a medical facility as defined by Article 28 of Public Health Law, deduct $50.00 for the PNA.
When the A/R has no earned income and resides in a medical facility regulated by Article 31 of Mental Hygiene Law, deduct $35.00 for the PNA.
When the A/R has no earned income and is receiving home and community-based waiver services or is a non-institutionalized participant in the Program of All Inclusive Care for the Elderly (PACE), deduct the PACE PNA amount (found in REFERENCE PACE PNA). (See GLOSSARY for a definition of PACE) This amount equals the difference between the Medically Needy Income level for a household of two and the level for one.
(MRG)