3237 Determining Room and Board Charges Revision 17-; Effective 1, 2017 All STAR+PLUS Home and Community Services (HCBS) program must pay the room and board charges to be eligible for Assisted Living (AL). Room and board cannot be waived, but an AL facility may choose to accept an individual for a lower amount. STAR+PLUS HCBS program policy does not direct the facility to accept or reject the individual. The room and board charge for an individual is fixed at the amount remaining after subtracting $85 from the Supplemental Security Income (SSI) federal benefit rate (FBR). FBR current amounts are found in , Monthly Income/Resource Limits, which is updated when the FBR changes. For couples both partners are residing in AL or Adult Foster Care (AFC) settings, $170 is subtracted from the couple's income so each member of the couple keeps $85 a month for personal needs and the remainder is the room and board charge for the couple. Due to the difference in income between couples and individuals, the amount of room and board charge for a couple depends on income. For SSI couples, the room and charge is the FBR for a couple minus the $170 personal needs allowance. For couples who are not SSI recipients, but income is less than the current FBR for an individual doubled, the room and board charge is their monthly income minus the $170 for personal needs. For couples whose income exceeds twice the SSI FBR for an individual, the full room and board charge for two individuals is required. The AL/AFC participant will keep $85 a month for personal needs. Refer to , STAR+PLUS Inquiries Chart, for instructions about who to contact for information on how to calculate room and board for a partial month. 3238 Determining Copayment Amounts Revision 17-; Effective 1, 2017 After determining financial eligibility for Medicaid, Medicaid for the Elderly and People with Disabilities (MEPD) determine the amount of money available for copayment. MEPD send ,
3237 Determining Room and Board Charges Revision 17-; Effective 1, 2017 All STAR+PLUS Home and Community Services (HCBS) program must pay the room and board charges to be eligible for Assisted Living (AL). Room and board cannot be waived, but an AL facility may choose to accept an individual for a lower amount. STAR+PLUS HCBS program policy does not direct the facility to accept or reject the individual. The room and board charge for an individual is fixed at the amount remaining after subtracting $85 from the Supplemental Security Income (SSI) federal benefit rate (FBR). FBR current amounts are found in , Monthly Income/Resource Limits, which is updated when the FBR changes. For couples both partners are residing in AL or Adult Foster Care (AFC) settings, $170 is subtracted from the couple's income so each member of the couple keeps $85 a month for personal needs and the remainder is the room and board charge for the couple. Due to the difference in income between couples and individuals, the amount of room and board charge for a couple depends on income. For SSI couples, the room and charge is the FBR for a couple minus the $170 personal needs allowance. For couples who are not SSI recipients, but income is less than the current FBR for an individual doubled, the room and board charge is their monthly income minus the $170 for personal needs. For couples whose income exceeds twice the SSI FBR for an individual, the full room and board charge for two individuals is required. The AL/AFC participant will keep $85 a month for personal needs. Refer to , STAR+PLUS Inquiries Chart, for instructions about who to contact for information on how to calculate room and board for a partial month. 3238 Determining Copayment Amounts Revision 17-; Effective 1, 2017 After determining financial eligibility for Medicaid, Medicaid for the Elderly and People with Disabilities (MEPD) determine the amount of money available for copayment. MEPD send ,
SPH_17-5_Section_3000.docx