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personal need allowance, which is fixed without regard to whether a beneficiary resides in a single room. Both the assisted living provider and the beneficiary are notified of this adjustment upon the determination of eligibility. c. Cost of Care for Medicaid LTSS – All income above the assisted living – special maintenance needs allowance for room and board, less the applicable personal needs allowance that is not allocated to a spouse or dependent is available to pay the cost of care, including the pension portion of Veteran's Administration Aid and Attendance payments. The State supplement payment is reduced by the non-pension portion of Aid & Attendance, which must be allocated for room and board or toward the spousal allowance. 4. Intellectual/Developmental Disabilities – Special Maintenance Needs Allowance – LTSS beneficiaries participating in the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH) Development Disabilities (DD) Program or the EOHHS Habilitation Program who are employed are eligible for the intellectual/developmental disabilities – special maintenance needs allowance and an additional amount of earned income up to but not exceeding three hundred percent (300%) of the SSI Federal Benefit rate. 5. Exceptions – A beneficiary may receive an allowance that is above the maintenance of need allowance set by the State when: a. Court-ordered. A court-order may require the allocation of a different portion of the beneficiary’s income to a spouse or a dependent as indicated in § 8.6(A)(2)(b)(5) of this Part; or b. EOHHS Hearing Decision. Upon presenting evidence of hardship in an EOHHS administrative fair hearing, the maintenance of need allowance for a beneficiary living at home may be increased if the amount provided is insufficient based on a reasonable assessment of need, as is required in 42 C.F.R. § 435.735(c)(1). Such an assessment must consider evidence that pertains directly to a beneficiary's need to maintain shelter including, but not limited to, rent or mortgage payments, property related taxes, fees and/or insurance, and utility costs. Hardships affecting home stability resulting from natural or human-made disasters such as a fire, weather damage, criminal acts may also be considered. The HCBS maintenance needs allowance increase may not exceed the minimum monthly maintenance of needs allowance in any given year. C. Monthly Spousal Allowances. The monthly spousal and family allowances are the principal mechanisms for assuring that the dependents of an LTSS beneficiary