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a. One (1) beneficiary only. The allowance is deducted from the income of only one (1) LTSS beneficiary, even in cases in which both members are receiving Medicaid coverage in a health care institution. The determination of which spouse will receive the home maintenance allowance is based on an assessment of what is most advantageous to both members of the couple. b. Restrictions. A Medicaid LTSS beneficiary residing in a health institutional arrangement is prohibited from receiving the home maintenance allowance and for the support of dependents at home. 8.9 Determination and Collection of Beneficiary Liability A. PETI income is the amount of an LTSS beneficiary’s income that is applied to the LTSS Medicaid cost of care after the deduction of all available allowances. If the beneficiary’s gross income is depleted by the allowances deducted – PETI income is zero dollars ($0.00) – there is no beneficiary liability and no payment toward the Medicaid cost of care is required. 1. Agency Responsibilities – In determining and applying PETI income for beneficiary liability purposes, the agency has the following responsibilities: a. Calculation of beneficiary liability. In general, the determination of beneficiary liability is based on the income and resources of the applicant beginning on the eligibility date, which is the first (1st) day of the month in which an application is filed and date stamped as received by the agency. There is no beneficiary liability for services covered during the ninety (90) day retroactive period which begins in the month prior to the filing of the application. b. Collection date. The obligation to pay beneficiary liability varies by type of LTSS when eligibility is determined by the State in a month after the application is filed irrespective of the eligibility date as follows: (1) HCBS beneficiaries – Beneficiary liability begins on the first (1st) day of the month in which a determination of eligibility is made. If eligibility is determined in a month after the application was filed, beneficiary liability does not accrue retroactively back to the eligibility date, however. Therefore, collection of beneficiary liability for HCBS beneficiaries is always prospective and begins on the first (1st) day of the calendar month after eligibility is determined by the State. (2) NF and other health institutions. LTSS beneficiaries residing in health institutions are obligated to pay what they can afford toward the cost of care beginning on the date of