8170 Financial Eligibility - Financial need is computed on the income determination screen. All income which is received or expected to be received within the eligibility base period must be considered and will be reflected on the screen unless exempted. The following guidelines are applicable.

8171 Eligibility for Persons in Non-Medicaid Approved Institutions - Financial eligibility shall be based on meeting a spenddown in accordance with the independent living rules in 7530 and subsections. Charges in a non-Medicaid approved institution are not allowable to meet spenddown. LOTC is completed with a living arrangement code of "NS" and a Level of Care code of "NA" for persons in an NF. However, for NF MH residents who do not meet the necessary level of care criteria (see 8114) LOTC is completed with a living arrangement for NF and a level of care of MH in order to ensure proper funding sources. To ensure no payment is made to the facility a patient liability of $9,999.99 is also entered.

If the individual subsequently becomes eligible in a Medicaid approved facility because a current CARE assessment was completed, level of care is met, a transfer penalty expires or the facility is certified, Medicaid payment may begin to the facility. Financial eligibility is based on the provisions of and is effective the calendar month of the change from a non-Medicaid approved status to a Medicaid approved status. See 8111 and 8114.