967 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

    [43 Pa.B. 2968]
    [Saturday, May 25, 2013]

     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, 2013.

     Section 181.1(f)(1), (2) and (4) of 55 Pa. Code establishes 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—1383f). Effective January 1, 2013, 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, 2013. 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.

    BEVERLY D. MACKERETH, 
    Acting Secretary

    Fiscal Note: 14-NOT-820. No fiscal impact; (8) recommends adoption.

    Annex A

    TITLE 55. PUBLIC WELFARE

    PART II. PUBLIC ASSISTANCE MANUAL

    Subpart D. DETERMINATION OF NEED AND AMOUNT OF ASSISTANCE

    CHAPTER 181. INCOME PROVISIONS FOR CATEGORICALLY NEEDY NMP-MA AND MNO-MA

    APPENDIX A

    Categorically Needy Nonmoney Payment
    Monthly Income Limits for the Aged,
    Blind and Disabled Categories
    Effective January 1, 2013

    1 Person $710.00
    2 Persons$1,066.00

    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, 2013

    1 Person $2,130.00

    APPENDIX D

    Monthly Federal Benefit Rate
    Effective January 1, 2013

    1 Person $710.00
    2 Persons $1,066.00

    Percentages of Monthly Federal Benefit Rate
    Effective January 1, 2013

    Item 1) 50% of Federal Benefit Rate
    for 1 person  = $355.00

    Item 2) 50% of Federal Benefit Rate
    for 2 persons  = $533.00

    [Pa.B. Doc. No. 13-967. Filed for public inspection May 24, 2013, 9:00 a.m.]

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