JCAR890120-1011664r08 1 This version includes all HFS 1st ...

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JCAR890120-1011664r081246124712481249125012511252125312541255125612571258125912601261126212631264126512661267126812691270127112721273127412751276127712781279128012811282128312841285128612871288c) A one-person MANG Community Income Standard will be used (see Section120.20).d) The client shall be allowed an asset disregard in the amount for one client inaccord with Section 120.382. Assets are considered in accord with 89 Ill. Adm.Code 113.140, 113.141, 113.142 and 113.154.e) If the client has SSI income, the SSI income will be applied by DMHDD towardthe cost of room and board. The client shall be responsible directly to DMHDDfor payment of room and board costs. No payment will be made by theDepartment for the cost of room and board.f) If the client's non-exempt income is greater than the MANG Standard and/or nonexemptassets are over the applicable asset disregard, the client must meet thespend-down obligation determined for the eligibility period before becomingeligible to receive medical assistance. The spend-down obligation is the sum ofamount by which the client's non-exempt income exceeds the MANG Standardand the amount on non-exempt assets in excess of the applicable asset disregard.g) The client may meet the spend-down by incurring costs for remedial careservices. Remedial care costs are the cost of all services reported by DMHDDthat exceed the MANG Community Income Standard and the Income Disregardamount. Remedial care services are considered incurred in total for the month onthe first day of the month or the first day of stay for a month that the client residesin the approved residential setting if for less than an entire month. If the cost ofremedial care services equal or exceeds the spend-down amount, the spend-downobligation is met. DMHDD will provide the local office a statement of expectedmonthly charges for remedial care services to ensure that the spend-downobligation is met.h) If the client's non-exempt income is equal to or less than the MANG Standard andnon-exempt assets are not in excess of the applicable asset disregard, the client iseligible for medical assistance from the first day of the eligibility period.i) If the client's non-exempt income exceeds the MANG Standard and/or nonexemptassets are over the applicable asset disregard, eligibility for medicalassistance shall begin effective the first day that the spend-down obligation is met.Covered services, less the client's liability, received from the spend-down metdate until the end of the eligibility period will be paid for by the Department. Theclient shall be responsible directly to the provider for payment for servicesprovided prior to the time client meets the spend-down obligation.
JCAR890120-1011664r081289129012911292129312941295129612971298129913001301130213031304130513061307130813091310131113121313131413151316131713181319132013211322132313241325132613271328132913301331j) A new application and/or a redetermination of eligibility will not be required foreligible clients who move from an institutional setting to an approved Home andCommunity Based Residential Setting.k) A case review is required for eligible cases placed in an approved Home andCommunity Based Residential Setting.l) A full redetermination of eligibility shall be made every twelve months.(Source: Repealed at 35 Ill. Reg. ______, effective ____________)Section 120.65 Department of Mental Health and Developmental Disabilities (DMHDD)Licensed Community-Integrated Living Arrangements (Repealed)a) Community-Integrated Living Arrangement (CILA) Services1) This Section applies to individuals receiving CILA services through anagency licensed by DMHDD. CILA services are provided in approvedsettings where eight or fewer individuals with mental retardation (MR) ormental illness (MI) reside under the supervision of the agency licensed byDMHDD. Individuals actively participate in choosing services designedto provide treatment, habilitation, training, rehabilitation and othercommunity integrative supports and in choosing a home from among thoseliving arrangements available to the general public and/or housing ownedor leased by an agency licensed by DMHDD.2) The standards and licensure requirements for community-integrated livingarrangements are found at 59 Ill. Adm. Code 115.b) A one-month eligibility period will be used. Eligibility begins the first day of theeligibility period or the day during the month that spend-down is met.c) The appropriate MANG Community Income Standard will be used (see Section120.20).d) The individual shall be allowed an asset disregard in accordance with Section120.382. Assets are considered in accordance with 89 Ill. Adm. Code 113.140,113.141 and 113.142.e) No payment will be made by the Department for the cost of room and board. Theindividual shall be responsible directly to the agency licensed by DMHDD forpayment of any room and board costs.
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33813382Section 120.TABLE B Life Ex
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JCAR890120-1011664r083383338481 6.5
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