 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
|
|
||||||||||||
| |||||||||||||
The SA/ACH domiciliary rate in EIS is the current amount enacted by the General Assembly. There are two SA/ACH rates; one for the SA/ACH basic level, and one for SA/ACH special care unit (SCU) for Alzheimer’s or dementia related disorders.
1. The current SA/ACH Basic rate is $1,207 per month.
2. The current SA/ACH SCU rate is $1,515 per month.
A monthly personal needs allowance is retained by the SA recipient. These funds are available to meet the costs of certain expenses not covered by the monthly rate such as personal articles, Medicaid co-payments (Refer to MA-2905, Medicaid Covered Services, for co-payment amounts), clothing, and other personal needs.
1. The PNA, set by the General Assembly, is currently $46.
2. The PNA (and where applicable the $20 General Income Exclusion) are added to the monthly rate for all SA recipients in Adult Care Homes when calculating the SA payment.
3. See SA-3220 Budgeting, for more information on the PNA.
1. The maintenance amount for the SA/ACH applicant/recipient is the sum of the appropriate SA rate (basic or SCU) plus the personal needs allowance. This is the actual amount that is used to calculate the SA payment. The SA/ACH a/r's total countable monthly income (TCMI) must be below the maintenance amount for his/her current level of care (basic or special care unit).
2. The SA/ACH maintenance amount is $1253.
$1,207 (current SA/ACH basic rate) + $46 PNA = $1,253.
3. The SA/ACH SCU maintenance amount is $1561.
$1,515 (current SA/ACH SCU) rate + $46 PNA = $1,561.
4. The SA payment is calculated by subtracting the TCMI from the maintenance amount. The TCMI + the SA payment cannot exceed the Maintenance Amount for the appropriate SA/ACH rate for that a/r when keying into EIS (see EIS-2264, Approving an SAA or SAD New Application or Reapplication).
|
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.
|
|
|
|
|
|
|
|
|
|
|