Section 120.20  MANG(AABD) Income Standard

a)         The monthly countable income standard is 100 percent of the Federal Poverty Level Income Guidelines, as published annually in the Federal Register, for the appropriate family size.

b)         A client receiving care in a public tuberculosis hospital is not considered to be receiving long term care.  Such a client's financial eligibility for MANG is determined by use of the Aid to the Aged, Blind or Disabled MANG(AABD) Income Standard.

c)         The MANG(AABD) Income Standard is used in the determination of financial eligibility for MANG of a client living in a residential home or facility which is not licensed as a medical care facility or as a sheltered care facility. The cost of maintenance and/or care in such a facility is not an allowable medical expense.  Regardless of the amount the client may be paying for care and/or maintenance in the facility, the client's nonexempt income and assets in excess of the MANG(AABD) Standard are considered available for payment for medical care not provided in the facility.

d)         MANG

1)         A recipient residing in a Department of Human Services (DHS) State psychiatric hospital or developmental center is allowed $30 per month in lieu of any other MANG standard.

2)         As soon as MANG(AABD) clients become residents of a DHS facility (see subsection (d)(1) of this Section), a skilled nursing facility, an intermediate care facility, or other facility, their eligibility for MANG is determined separately from persons remaining in the home.

3)         When eligibility is based on being temporarily discharged from a DHS facility (see subsection (d)(1) of this Section) for the purpose of obtaining medical care in a general hospital, the amount which the recipient is obligated to pay DHS for care and maintenance is to be allowed in addition to the $30.

4)         Clients in a long term facility are allowed deductions from their non-SSI income to meet the needs of their community spouse, dependent family members and dependent children under the age of 21 years who do not reside with the community spouse.  Family members include dependent children under the age of 21 years, dependent adult children, dependent parents or dependent siblings of either spouse who reside with the spouse in the community.  To calculate the amount of non-SSI income to be deducted, use the:

A)        Community Spouse Maintenance Needs Allowance (as described at Ill. Adm. Code 120.61) if the deduction is for a spouse in the community;

B)        Family Maintenance Needs Allowance (as described in Ill. Adm. Code 120.61), if the deduction is for dependent family members residing with the community spouse; and

C)        Temporary Assistance for Needy Families (TANF) cash grant standard if the deduction is for dependent children under the age of 21 years who do not reside with the community spouse.

(Source:  Amended at 26 Ill. Reg. 16288, effective October 25, 2002)