903 Income limits for the categorically needy nonmoney payment Medicaid Program

DEPARTMENT OF
PUBLIC WELFARE

Income Limits for the Categorically Needy Non- money Payment Medicaid Program

[37 Pa.B. 2352]
[Saturday, May 19, 2007]

   The Department of Public Welfare (Department) increased the income limits codified in 55 Pa. Code § 181.1(f)(1), (2) and (4) (relating to general policy on MA income common to all categories of MA) effective January 1, 2007.

   The regulations in 55 Pa. Code § 181.1(f)(1), (2) and (4) establish that the income limits for the Categorically Needy Nonmoney Payment Medical Assistance Program (program) for aged, blind and disabled persons are based on the Federal benefit rate payable under Title XVI of the Social Security Act (42 U.S.C.A §§ 1381--1383c). Effective January 1, 2007, the Federal benefit rate was increased due to the Federal cost-of-living increase.

   As required under 55 Pa. Code § 181.1(f), the Department revised the income limits for the program for aged, blind and disabled persons effective January 1, 2007. Those limits are set forth in Appendices A, B and D, which are recommended for codification in 55 Pa. Code Chapter 181 (relating to income provisions for categorically needy NMP-MA and MNO-MA). Appendix A is the Federal benefit rate plus the State supplement payable under Title XVI. Appendix B is 300% of the Federal benefit rate payable under Title XVI. Appendix D is the Federal benefit rate payable under Title XVI. Item 1 of Appendix D is 1/2 of the Federal benefit rate for one person. Item 2 of Appendix D is 1/2 of the Federal benefit rate for two persons.

ESTELLE B. RICHMAN,   
Secretary

   Fiscal Note: 14-NOT-509. (1) General Fund:

		A-Inpatient	MA Outpatient	A Capitation
(2)	Implementing Year 2006-07 is	$14,000	$24,000	$123,000
(3)	1st Succeeding Year 2007-08 is	$42,000	$77,000	$262,000
	2nd Succeeding Year 2008-09 is	$44,000	$83,000	$279,000
	3rd Succeeding Year 2009-10 is	$45,000	$89,000	$297,000
	4th Succeeding Year 2010-11 is	$46,000	$96,000	$316,000
	5th Succeeding Year 2011-12 is	$47,000	$103,000	$337,000
(4)	2005-06 Program--	$474,673,000	$945,950,000	$2,500,992,000
	2004-05 Program--	$531,785,000	$842,991,000	$2,312,457,000
	2003-04 Program--	$411,042,000	$677,979,000	$2,222,278,000
(7)	Medical Assistance (MA) Inpatient and MA Outpatient; (8) recommends adoption. Funds have been included in the budget to cover these increases.

APPENDIX A

CATEGORICALLY NEEDY NONMONEY PAYMENT MONTHLY INCOME LIMITS FOR THE AGED, BLIND AND DISABLED CATEGORIES
EFFECTIVE JANUARY 1, 2007

            1 PERSON               $650.40

            2 PERSONS              $977.70

APPENDIX B

CATEGORICALLY NEEDY NONMONEY PAYMENT MONTHLY INCOME LIMITS FOR THE AGED, BLIND AND DISABLED CATEGORIES RECEIVING SKILLED CARE, HEAVY CARE/INTERMEDIATE SERVICES OR INTERMEDIATE CARE
EFFECTIVE JANUARY 1, 2007

            1 PERSON               $1,869

APPENDIX D

MONTHLY FEDERAL BENEFIT RATE
EFFECTIVE JANUARY 1, 2007

            1 PERSON               $623

            2 PERSONS              $934

PERCENTAGES OF MONTHLY FEDERAL
BENEFIT RATE
EFFECTIVE JANUARY 1, 2007

ITEM 1) 50% of Federal Benefit Rate
for 1 person = $311.50

ITEM 2) 50% of Federal Benefit Rate
for 2 persons = $467

[Pa.B. Doc. No. 07-903. Filed for public inspection May 18, 2007, 9:00 a.m.]