An individual residing in an ICF/ID may have income and a payment toward the cost of care. The CAO will apply the provisions of Chapter 468, Determining MA Eligibility and Payment Toward the Cost of Care, except for the treatment of earnings from a sheltered workshop or other therapeutic activity arranged by the institution. The CAO will allow the following personal care allowance deductions from those earnings:
1. If the sheltered workshop income is less than or equal to $50.00 per month, then $80.00 will be deducted from the Cost of Care.
2. If the sheltered workshop income is between $50.01 and $90.00 per month, then $100.00 will be deducted from the Cost of Care.
3. If the sheltered workshop income is between $90.01 and $150.00 per month, then $140.00 will be deducted from the Cost of Care.
4. If the sheltered workshop income exceeds $150.00 per month, then $140.00 plus 50 percent of the difference between the actual gross sheltered workshop earnings and $150.01 will be deducted from the Cost of Care.
NOTE: The total PNA may not exceed the one person SSI limit
Example: Ms. Smith has a retirement pension of $225.00 per month plus Social Security income of $750.00 per month and sheltered workshop earnings of $200.00 per month. Ms. Smith has a PNA of:
|
$200.00 |
Total sheltered workshop earnings |
|
- $150.01 |
|
|
$49.99 |
|
|
|
|
|
$25.00 |
50% of the remainder, round up |
|
+$140.00 |
|
|
$165.00 |
Total PNA
|
Ms. Smith has a PNA of $165.00 is the total deducted from the gross income of $1,175.
NOTE: Earnings from a sheltered workshop or other therapeutic activities arranged by the institution must be entered as income code 07 in the Client Information System (CIS). Only income coded as 07 on the CAWAGE screen will signal CIS to determine an addition to the basic PNA. Only individuals residing in an ICF/ID, ICF/ORC, State Mental Hospital equivalent to an Institution for Mental disease (IMD) or State Intellectual Disabilities Center equivalent to an ICF/ID are entitled to the additional PNA. Individuals residing in a Long-Term Care (LTC) facility are not entitled to the additional PNA.
Updated December 23, 2024 Replacing August 27, 2013