DEPARTMENT OF PUBLIC WELFARE Income Limits for the Categorically Needy Nonmoney Payment Medicaid Program [35 Pa.B. 3702] 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, 2005.
Section 181.1(f)(1), (2) and (4) of 55 Pa. Code establishes that the income limits for the Categorically Needy Nonmoney Payment Medicaid 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, 2005, 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, 2005. 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 of the Social Security Act. Appendix B is 300% of the Social Security Income (SSI) Federal benefit rate payable under Title XVI of the Social Security Act. Appendix D is the SSI Federal benefit rate payable under Title XVI of the Social Security Act. Item 1 of Appendix D is 1/2 of the SSI 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,
SecretaryFiscal Note: 14-NOT-431. (1) General Fund;
Outpatient Inpatient Capitation (2) Implementing Year 2004-05 is $14,000 $8,000 $65,000 (3) 1st Succeeding Year 2005-06 is $45,000 $24,000 $139,000 2nd Succeeding Year 2006-07 is $48,000 $25,000 $153,000 3rd Succeeding Year 2007-08 is $52,000 $26,000 $168,000 4th Succeeding Year 2008-09 is $56,000 $27,000 $185,000 5th Succeeding Year 2009-10 is $60,000 $28,000 $204,000 Outpatient Inpatient Capitation (4) 2003-04 Program-- $727,979,000 $411,042,000 $2,222,278,000 2002-03 Program-- $666,832,000 $407,104,000 $1,863,772,000 2001-02 Program-- $705,750,000 $417,512,000 $1,711,084,000 (7) MA--Outpatient, MA--Inpatient and MA--Capitation; (8) recommends adoption. Funds have been included in the Department's 2004-05 and 2005-06 budgets.
APPENDIX A CATEGORICALLY NEEDY NONMONEY PAYMENT MONTHLY INCOME LIMITS FOR THE AGED, BLIND AND DISABLED CATEGORIES
EFFECTIVE JANUARY 1, 20051 PERSON $606.40 2 PERSONS $912.70 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, 20051 PERSON $1,737 APPENDIX D MONTHLY FEDERAL BENEFIT RATE
EFFECTIVE JANUARY 1, 20051 PERSON $579 2 PERSONS $869 PERCENTAGES OF MONTHLY FEDERAL
BENEFIT RATE
EFFECTIVE JANUARY 1, 2005ITEM 1) 50% of Federal Benefit Rate
for 1 person = $289.50ITEM 2) 50% of Federal Benefit Rate
for 2 persons = $434.50[Pa.B. Doc. No. 05-1270. Filed for public inspection July 1, 2005, 9:00 a.m.]
