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DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES AUXILIARY GRANT PROGRAM GRANT COMPUTATION AND ISSUANCE 07/17 CHAPTER J, PAGE 2

2. AG Limit The AG Limit is the amount an individual needs to assure he has enough income to pay the ALF/AFCH rate and to retain money to meet his/her personal needs. The limit is computed by adding the VDSS established ALF/AFCH rate to the amount an individual is allowed to keep for his/her personal needs, the personal needs allowance (PNA). The individual’s net countable income is subtracted from the AG Limit to determine the additional amount of income the individual needs, this is the AG payment amount.

3. ALF/AFCH Rate The Department for Aging and Rehabilitative Services (DARS) publishes the maximum rate an ALF/AFCH can charge an AG recipient. Two rates are set, one for ALFs and AFCHs that are located in Planning District 8 and another for all other areas of the state. The rate established for Planning District 8 is higher than that for other areas due to the high cost of living there. The established rates are adjusted at least annually. Most adjustments occur in January to coincide with the increase in SSI benefit levels.

3.1. Covered Services The Virginia Administrative Code identifies the services that are to be provided for the established rate. The established rate must be accepted as full payment for those services. The Auxiliary Grants payment covers the following services:  Room and Board. o Provision of a furnished room; o Housekeeping services based on the needs of the recipient; o Meals and snacks required by licensing regulations, including extra portions of food at mealtime and special diets; and o Clean bed linens and towels as needed by the recipient and at least once a week.  Maintenance and Care. o Minimal assistance with personal hygiene including bathing, dressing, oral hygiene, hair grooming and shampooing, care of clothing, shaving, care of toenails and fingernails, arranging for haircuts as needed, and care of needs associated with menstruation or occasional bladder or bowel incontinence;