Financial Eligibility

The individual’s categorical relations hip determines which income and resource guidelines they must meet for Personal Care services.

Nursing Facility Services for ABD Related – Determining Income Eligibility

Determining Countable Income If client has been out of their home for 30 consecutive days or longer and is now receiving care in an intermediate care facility (ICF), countable income must be equal to or less than the Categorically Needy Standard (300% of Federal Benefit Rate) found on Appendix C-1 Schedule VIII B.1 beginning the […]

ADvantage and Other Waivers – Determining Income Eligibility

317:35-17-9 317:35-17-10 317:35-17-11 Determining Countable Income Countable income must be equal to or less than the Categorically Needy Standard (300% of Federal Benefit Rate) found on Appendix C-1 Schedule VIII B.1. If income is between the Categorically Needy Standard and the Maximum monthly countable income for a Medicaid Income Pension Trust, also found on Schedule […]

Reimbursements – Excluded from Income

Reimbursements for past or future expenses are not considered in income calculations. Examples of reimbursements include: travel, per diem, uniforms, and medical or dependent care. When a reimbursement covers multiple expenses, it is not necessary to itemize each expense.