Budgeting Process 400-29-40

(Revised 11/1/10 ML #3238)

View Archives

 

 

The budgeting process for a Basic Care recipient is a two step process:

 

1. Determine the recipient liability for Medicaid in the TECS System. (See the Medicaid Manual, "Medically needy aged, blind, or disabled recipients, over age eighteen residing in a 'specialized facility' and 'Eligible family unit' with member(s) in a specialized facility.")
2. Determine the recipient responsibility for the room and board expense in a licensed basic care facility for the Basic Care Assistance Program through the Resident Payment System. (See the Resident Payment System document.)

1. Medicaid "offset" of outstanding medical bills must also be used to determine the recipient responsibility in the Resident Payment System.
2. The recipient responsibility for married couples living in the same basic care facility, whether sharing a room or not, is determined separately. His income and deductions are used to determine his recipient responsibility and her income and deductions are used to determine her recipient responsibility towards the room and board expense.

Note – Budgets in the Resident Payment System will roll forward month to month unless a redetermination is due.  The rollover dates are listed in the TECS/Vision calendar. Cases not processed by that date, will not roll forward into the future month.