Obsolete 0319 - Table II-A - LTC and Waiver Income

Personal Needs Allowance (PNA)

Institutional Long Term Stay

$45

Institutional Short Term Stay

One person BMS

$382

HCB Waivers

100% of Poverty

All Waivers (Not PDW)

For NCW - Special Income group only

$1,012

Changes each March

Physical Disabilities Waiver

When total income is under 300% of SSI

$2,313

Changes each January

When total income is over 300% of SSI

$1,012

Changes each March

Institutional/Waiver Earned Income Deductions

Aging, Brain Injury, New Choices and Institutional.

$125

UCSW, Technology Dependent, Medically Complex Children and Autism Disabled (SGA)

$1,220

Changes each January

UCSW, Technology Dependent, Medically Complex Children and Autism Blind (SGA)

$2,040

Changes each January

HCB Waivers Shelter Deductions

Shelter Deduction (Actual Rent, or Mortgage/Taxes/Insurance)

up to $300

Standard Utility Allowance with heating or cooling expense

$360

Changes each October

Non-Heat/Cool Utility Allowance

$283

Changes each October

Telephone Only Allowance

$64

Changes each October

Physical Disabilities Waiver

Income Eligibility Limit: 300% SSI rate

$2,313

Changes each January

When income exceeds 300% SSI rate

$1,012

Changes each March

New Choices Waiver Special Income Group

Income Eligibility Limit (300% of SSI Rate)

$2,313

Changes each January

Spousal Needs Standard

Minimum

$2,058

Changes each July

Maximum

$3,161

Changes each January

Spousal Needs Allowance Calculation

Shelter Standard

$618.00

Changes each July

Standard Utility Allowance

$360

Changes each October

Assessment of Assets Limits

Minimum Spousal Asset Share

$ 25,284

Changes each January

Maximum Spousal Asset Share

$126,420

Changes each January

Average Private-Pay Rate for Nursing Homes

(to determine penalty period)

$4,526

Home Equity Limits

Maximum

$585,000

Changes each January