NOTICES

DEPARTMENT OF
PUBLIC WELFARE

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

[36 Pa.B. 628]

   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, 2006.

   The regulations in 55 Pa. Code § 181.1(f)(1), (2) and (4) establish 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, 2006, 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, 2006. 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-464. (1) General Fund;

	Inpatient	Outpatient	Capitation
(2)  Implementing Year 2005-06 is	$13,000	$25,000	$113,000
(3)  1st Succeeding Year 2006-07 is	$41,000	$82,000	$252,000
2nd Succeeding Year 2007-08 is	$43,000	$88,000	$277,000
3rd Succeeding Year 2008-09 is	$44,000	$95,000	$305,000
4th Succeeding Year 2009-10 is	$45,000	$102,000	$336,000
5th Succeeding Year 2010-11 is	$46,000	$110,000	$370,000
(4) 2004-05 Program--	$531,785,000	$842,991,000	$2,691,000,000
2003-04 Program--	$411,042,000	$727,979,000	$2,298,000,000
2002-03 Program	$407,104,000	$666,832,000	$2,013,000,000
(7) MA--Inpatient, MA--Outpatient and MA--Capitation; (8) recommends adoption. Funds have been included in the Department's budget to cover this increase.

APPENDIX A

CATEGORICALLY NEEDY NONMONEY PAYMENT MONTHLY INCOME LIMITS FOR THE AGED,
BLIND AND DISABLED CATEGORIES
EFFECTIVE JANUARY 1, 2006

1 PERSON	$630.40
2 PERSONS	$947.70

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, 2006

1 PERSON

$1,809

APPENDIX D

MONTHLY FEDERAL BENEFIT RATE EFFECTIVE JANUARY 1, 2006

1 PERSON	$603
2 PERSONS	$904

PERCENTAGES OF MONTHLY FEDERAL BENEFIT RATE EFFECTIVE JANUARY 1, 2006

ITEM 1)  50% of Federal Benefit Rate

for 1 person   =   $301.50

ITEM 2)  50% of Federal Benefit Rate

for 2 persons  =   $462.00

[Pa.B. Doc. No. 06-194. Filed for public inspection February 3, 2006, 9:00 a.m.]

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