Page 184

UPDATED: JUNE 2010

281

INCOME PERSON IN MEDICAL FACILITIES

CHRONIC CARE BUDGETING METHODOLOGY FOR INSTITUTIONALIZED SPOUSES

When the A/R has earned income, the PNA consists of $50.00, $35.00 or PACE PNA amount (See REFERENCE PACE PNA) as applicable, plus the SSI-related earned income disregards listed on INCOME SSI-RELATED DISREGARDS. The total PNA amount may not exceed the Medicaid income level or Standard for one.

When a waiver or non-institutionalized PACE participation recipient is not living with his/her spouse and does not make his/her income and resources available to the spouse, the local district uses community budgeting procedures to determine the waiver recipient's Medicaid eligibility.

(b) When the community spouse's otherwise available monthly income is less than the minimum monthly maintenance needs allowance (MMMNA), deduct the amount required to bring the community spouse's otherwise available monthly income up to the MMMNA (See REFERENCE MMMNA for the current amount) from the institutionalized A/R's income. (See GLOSSARY for the determination of otherwise available income). This deduction is only allowed if the A/R is or will be actually making the income available to his/her community spouse.

(MRG)

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Page 184

Official source

UPDATED: JUNE 2010

281

INCOME PERSON IN MEDICAL FACILITIES

CHRONIC CARE BUDGETING METHODOLOGY FOR INSTITUTIONALIZED SPOUSES

When the A/R has earned income, the PNA consists of $50.00, $35.00 or PACE PNA amount (See REFERENCE PACE PNA) as applicable, plus the SSI-related earned income disregards listed on INCOME SSI-RELATED DISREGARDS. The total PNA amount may not exceed the Medicaid income level or Standard for one.

When a waiver or non-institutionalized PACE participation recipient is not living with his/her spouse and does not make his/her income and resources available to the spouse, the local district uses community budgeting procedures to determine the waiver recipient's Medicaid eligibility.

(b) When the community spouse's otherwise available monthly income is less than the minimum monthly maintenance needs allowance (MMMNA), deduct the amount required to bring the community spouse's otherwise available monthly income up to the MMMNA (See REFERENCE MMMNA for the current amount) from the institutionalized A/R's income. (See GLOSSARY for the determination of otherwise available income). This deduction is only allowed if the A/R is or will be actually making the income available to his/her community spouse.

(MRG)