reglab/statecodes huggingface dataset:
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.359 - TEMPORARY CENSUS INCOME

Current through August 31, 2023
For Medicaid only, all wages paid by the Census Bureau for
				temporary employment related to U.S. Census activities are excluded.
				(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.400 - EARNED INCOME

Current through August 31, 2023
Earned income remaining after disregards and exclusions are
				subtracted is counted in computing AABD cash. Wages are counted the month they
				become available to the participant. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.401 - COMPUTING SELF-EMPLOYMENT INCOME

Current through August 31, 2023
Countable self-employment income is the difference between the
				gross receipts and the allowable costs of producing the income, if the amount
				is expected to continue. Self-employment income is computed using one (1) of
				the methods listed in Subsections
				401.01 through
				401.03. (3-17-22)
01.
Self-Employed at Least One
			 Year
. For individuals who are self-employed for at least one (1) year,
			 income and expenses are averaged over the past twelve (12) months.
			 (3-17-22)
02.
Self-Employed
			 Less Than One Year
. For individuals who are self-employed for less than
			 one (1) year, income and expenses are averaged over the months the business has
			 been in operation. (3-17-22)
03.
Monthly Increase or Decrease
. If a monthly average does not
			 reflect actual monthly income, because of an increase or decrease in business,
			 the self-employment income is counted monthly. This method is not used for
			 businesses with seasonal or unusual income peaks at certain times of the year.
			 (3-17-22)
04.
Net
			 Self-Employment Income Seven and Sixty-Five Hundredths Percent
			 Deduction
. If net self-employment income is over four hundred dollars
			 ($400) per year, seven and sixty-five hundredths percent (7.65%) is deducted.
			 This deduction compensates for Social Security taxes paid. If self-employment
			 Social Security tax is not paid, this deduction is not allowed.
			 (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.402 - SELF-EMPLOYMENT ALLOWABLE EXPENSES

Current through August 31, 2023
Allowable operating expenses subtracted from self-employment
				income are listed in Subsections
				402.01 through
				402.17 of this rule.
				(3-17-22)
01.
Labor
.
			 Labor paid to individuals not in the family. (3-17-22)
02.
Materials
. Materials such as
			 stock, seed and fertilizer. (3-17-22)
03.
Rent
. Rent on business
			 property. (3-17-22)
04.
Interest
. Interest paid to purchase income producing property.
			 (3-17-22)
05.
Insurance
. Insurance paid for business property.
			 (3-17-22)
06.
Taxes
.
			 Taxes on income producing property. (3-17-22)
07.
Business Transportation
.
			 Business transportation as defined by the IRS. (3-17-22)
08.
Maintenance
. Landscape and
			 grounds maintenance. (3-17-22)
09.
Lodging
. Lodging for business related travel. (3-17-22)
10.
Meals
. Meals for business
			 related travel. (3-17-22)
11.
Use of Home
. Costs of partial use of home for business.
			 (3-17-22)
12.
Legal
.
			 Business related legal fees. (3-17-22)
13.
Shipping
. Business related
			 shipping costs. (3-17-22)
14.
Uniforms
. Business related uniforms. (3-17-22)
15.
Utilities
. Utilities for
			 business property. (3-17-22)
16.
Advertising
. Business related advertising. (3-17-22)
17.
Depreciation
. Depreciation
			 for equipment, machinery, or other capital investments. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.403 - SELF-EMPLOYMENT EXPENSES NOT ALLOWED

Current through August 31, 2023
Self-employment expenses not allowed are listed in Subsections
				403.01 through
				403.08. (3-17-22)
01.
Payments on the Principal of Real
			 Estate
. Payments on the principal of real estate mortgages on
			 income-producing property. (3-17-22)
02.
Purchase of Capital Assets or
			 Durable Goods
. Purchases of capital assets, equipment, machinery, and
			 other durable goods. Payments on the principal of loans for these items.
			 (3-17-22)
03.
Taxes
.
			 Federal, state, and local income taxes. (3-17-22)
04.
Savings
. Monies set aside
			 for future use such as retirement or work related expenses. (3-17-22)
05.
Labor Paid to Family Member
.
			 Labor paid to any family member. (3-17-22)
06.
Loss of Farm Income
. Loss of
			 farm income subtracted from other income. (3-17-22)
07.
Personal Transportation
.
			 Personal transportation. (3-17-22)
08.
Net Losses
. Net losses from
			 previous periods. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.404 - ROYALTIES

Current through August 31, 2023
Royalties received as part of a trade or business, or for
				publication of the participant's work are earned income. Other royalties are
				unearned income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.405 - HONORARIA

Current through August 31, 2023
An honorarium for services rendered is earned income. An
				honorarium for travel expenses and lodging for a guest speaker is unearned
				income in the amount it exceeds the expenses. The portion that equals the
				expenses is excluded as an expense of obtaining the income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.406 - SHELTERED WORKSHOP OR WORK ACTIVITIES CENTER PAYMENTS

Current through August 31, 2023
Payments for services performed in a sheltered workshop or work
				activities center are earned income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.407 - JOB TRAINING PARTNERSHIP ACT (JTPA)

Current through August 31, 2023
JTPA payments are earned income. JTPA payments for child care,
				transportation, medical care, meals, and other reasonable expenses, provided in
				cash or in-kind, are not income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.408 - PROGRAMS FOR OLDER AMERICANS

Current through August 31, 2023
Wages or salary paid under Chapter 35 of Title 42 of the U.S.
				Code, Programs for Older Americans, is earned income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.409 - UNIFORMED SERVICES PAY AND ALLOWANCES

Current through August 31, 2023
Basic pay is earned income. All other pay and allowances are
				unearned income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.410 - RENTAL INCOME

Current through August 31, 2023
Net rental income is unearned income, unless from the business
				of renting real property. Net unearned rental income is gross rent less the
				expenses on the rental property listed in Subsections
				410.01 through
				410.06. Net rental income from
				the business of renting properties is self-employment earned income.
				(3-17-22)
01.
Interest
.
			 Interest and escrow portions of a mortgage payment. (3-17-22)
02.
Insurance
. Real estate
			 insurance. (3-17-22)
03.
Repairs
. Minor repairs to an existing rental structure.
			 (3-17-22)
04.
Taxes
.
			 Property taxes. (3-17-22)
05.
Yard Care
. Lawn care, including tree and shrub care and snow
			 removal. (3-17-22)
06.
Advertising
. Advertising costs for tenants. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.411 - OVERPAYMENT WITHHOLDING OF UNEARNED INCOME

Current through August 31, 2023
Money withheld by any benefit program to recover an overpayment
				is counted as income. Money withheld is not income if the overpaid benefit
				amount was used to compute AABD cash. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.412 - RETIREMENT, SURVIVORS, AND DISABILITY INSURANCE (RSDI)

Current through August 31, 2023
RSDI monthly benefits are unearned income. The income is the
				amount reported by SSA, regardless of penalties to recover an SSI overpayment.
				(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.413 - SSI PAYMENTS

Current through August 31, 2023
SSI monthly payments are unearned income. The income is the
				amount reported by SSA, regardless of penalties to recover an SSI overpayment.
				An advance SSI payment, to an applicant appearing SSI eligible with a financial
				emergency, is not income the month received. When SSA reduces ongoing SSI to
				recover the advance, the SSI payment before the reduction continues to be
				counted as income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.416 - UNEMPLOYMENT INSURANCE BENEFITS

Current through August 31, 2023
Unemployment insurance benefits received under State and
				Federal unemployment laws are unearned income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.417 - UNIFORM GIFTS TO MINORS ACT (UGMA)

Current through August 31, 2023
UGMA payments from the custodian to the minor are income to the
				minor. UGMA property, including earnings or additions, are not income to the
				minor until the month the minor becomes eighteen (18) years of age.
				(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.418 - WORKERS' COMPENSATION

Current through August 31, 2023
Workers' compensation, less expenses required to get the
				payment, is unearned income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.420 - VA PENSION PAYMENTS

Current through August 31, 2023
VA pension payments are unearned income. The twenty dollar
				($20) standard disregard is not subtracted, except by a special act of
				Congress. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.421 - VA COMPENSATION PAYMENTS

Current through August 31, 2023
VA compensation payments to a veteran, spouse, child, or
				widow(er) are unearned income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.423 - ALIMONY, SPOUSAL, AND ADULT SUPPORT

Current through August 31, 2023
Alimony, spousal, and other adult support payments are unearned
				income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.424 - CHILD SUPPORT PAYMENTS

Current through August 31, 2023
Child support payments are unearned income. One-third (1/3) of
				a child support payment is excluded for the child receiving support. Child
				support collected by a State and retained for TAFI payments is not income.
				(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.429 - WORK-RELATED UNEARNED INCOME

Current through August 31, 2023
Work-related payments that are not salary or wages are unearned
				income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.430 - COMMUNITY SERVICE BLOCK GRANTS

Current through August 31, 2023
Community service block grant distributions are unearned
				income, unless excluded by the type of aid, such as medical services or Support
				and Maintenance Assistance. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.431 - FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) EMERGENCY FOOD DISTRIBUTION AND SHELTER PROGRAMS

Current through August 31, 2023
FEMA funds are unearned income, unless excluded by the type of
				aid, such as medical services or Support and Maintenance Assistance.
				(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.432 - BUREAU OF INDIAN AFFAIRS GENERAL ASSISTANCE (BIA GA)

Current through August 31, 2023
BIA GA payments are unearned income. BIA GA payments are
				Federally-funded income based on need. They are paid in cash or in-kind. The
				twenty dollar ($20) standard disregard is not subtracted. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.433 - BIA ADULT CUSTODIAL CARE (ACC) AND CHILD WELFARE ASSISTANCE (CWA) PAYMENTS

Current through August 31, 2023
BIA ACC and CWA payments, other than foster care, made to
				participants out of an institution, are unearned income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.434 - INDIVIDUAL INDIAN MONEY (IIM) ACCOUNTS

Current through August 31, 2023
Deposits to an unrestricted IIM account are income in the month
				deposited. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.435 - ACCELERATED LIFE INSURANCE INCOME

Current through August 31, 2023
Accelerated life insurance payments are unearned income in the
				month received. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.436 - REAL ESTATE CONTRACT INCOME

Current through August 31, 2023
Payments received on the interest of a negotiable real estate
				contract are unearned income for Medicaid eligibility. Payments received on the
				principal of a negotiable real estate contract are a resource for Medicaid
				eligibility. Payments received on a nonnegotiable real estate contract are
				unearned income. Principal and interest payments received on an excluded real
				estate contract of a long-term care participant are unearned income for patient
				liability. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.437 - LIMITED AWARD TO CHILD WITH LIFE-THREATENING CONDITION

Current through August 31, 2023
Any gift from a tax exempt nonprofit organization to a child
				under age eighteen (18), who has a life threatening condition, is excluded from
				income under the conditions in Subsections
				437.01 through
				437.02. (3-17-22)
01.
In-Kind
. An in-kind gift is
			 excluded if the gift is not converted to cash. (3-17-22)
02.
Cash
. Cash gifts are
			 excluded up to two thousand dollars ($2,000) for the calendar year the cash
			 gifts are made. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.454 - DEEMING INCOME FROM ESSENTIAL PERSON TO PARTICIPANT

Current through August 31, 2023
If a participant and an essential person live in the same
				household, the essential person's income is deemed to the participant. If
				essential person deeming makes the participant ineligible, do not use essential
				person deeming. The income is deemed as described in Subsections
				454.01 through
				454.06.
TABLE 454 - DEEMING FROM ESSENTIAL
						  PERSON TO PARTICIPANTS
Step
Procedure
01.
Compute Income
Compute the total earned and unearned income of the
						  essential person.
Subtract income exclusions.
02.
Subtract Disregard
Subtract income exclusions and disregards from the
						  participant's income.
03.
Add Unearned Income
Add the income from Subsection
						  454.01 to the participant's
						  unearned income.
04.
Add Earned Income
Add the participant's remaining earned income from
						  Subsection 454.02 to the income in
						  Subsection 454.03. This is the
						  participant's countable income.
05.
Compute Needs
Compute the participant's budgeted needs, as though the
						  participant and the essential person were an AABD couple.
06.
Subtract Income
Subtract participant's income in Subsection
						  454.04 from his budgeted needs.
						  The difference is the participant's AABD cash.
(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.455 - DEEMING INCOME FROM INELIGIBLE SPOUSE TO PARTICIPANT AND CHILD PARTICIPANT

Current through August 31, 2023
If a participant, his ineligible spouse and their child
				participant live in the same household, income is deemed from the participant
				to the child participant. The income is deemed as described in Subsections
				455.01 through
				455.03.
TABLE 455 - DEEMING FROM
						  INELIGIBLE SPOUSE TO PARTICIPANT AND CHILD PARTICIPANT
Step
Procedure
01.
Compute AABD cash
Use the procedures in Table 452, to determine if the
						  participant is eligible for AABD cash. If the participant is eligible, no
						  income is deemed to the child participant.
02.
Participant Not Eligible
If the participant has too much income, including
						  deemed income, to be eligible for AABD cash, all income over the amount needed
						  to reduce the participant's AABD cash to zero is deemed to the child
						  participant.
03.
Divide Deemed Income
If there is more than one (1) child participant in the
						  household, the deemed parental income is divided equally between those
						  children. Each child's share of parental income must only reduce the amount of
						  his AABD cash to zero, when combined with the child's own countable income.
						  Excess deemed parental income, remaining after a child participant's AABD cash
						  is reduced to zero, is divided equally between the other child participants in
						  the household. The excess deemed income is combined with their share of the
						  parental income available for deeming.
(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.457 - DEEMING INCOME FROM SPONSOR TO LEGAL NON-CITIZEN - SPONSOR SIGNED INS FORM I-864 AFFIDAVIT OF SUPPORT

Current through August 31, 2023
If the legal non-citizen's sponsor has signed an INS form I-864
				affidavit of support, all income of the sponsor and the sponsor's spouse is
				deemed to the legal non-citizen for AABD cash and Medicaid eligibility. Deeming
				continues until the legal non-citizen becomes a naturalized citizen or has
				forty (40) quarters of work. Exceptions are listed in Subsections
				457.01 and
				457.02. (3-17-22)
01.
Battery Exception
. The legal
			 non-citizen, or the legal non-citizen child's parent, was battered or subjected
			 to extreme cruelty in the U.S. There is a substantial connection between the
			 battery and the participant's need for assistance. The person subjected to the
			 battery or cruelty no longer lives with the person responsible for the battery
			 or cruelty. (3-17-22)
02.
Indigence
. Alien sponsor deeming is suspended for twelve (12)
			 months, if the legal non-citizen is not able to get food and shelter without
			 AABD cash. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.500 - FINANCIAL NEED

Current through August 31, 2023
The participant has financial need if his allowances, as
				described in Sections
				501 through
				513 of these rules, are more than
				his income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.501 - BASIC ALLOWANCE

Current through August 31, 2023
Each participant receives a basic allowance unless he lives in
				a nursing facility. The basic allowance for each living arrangement is listed
				in Subsections 501.01
				through 501.03 of
				this rule. The Semi-Independent Group Residential Facility, Room and Board,
				Residential and Assisted Living Facility and Certified Family Home basic
				allowances are those in effect January 1, 2001. They do not change with the
				annual cost-of-living increase in the federal SSI benefit amount.
				(3-17-22)
01.
Single
			 Participant
. Through December 31, 2000, a participant is budgeted five
			 hundred forty-five dollars ($545) monthly as a basic allowance when living in a
			 situation described in Subsections
			 501.01.a. through 501.01.e. of
			 these rules. Beginning January 1, 2001, the basic allowance increase for a
			 single participant is the dollar amount of the annual cost-of-living increase
			 in the federal SSI benefit rate for a single person. (3-17-22)
a. Living alone. (3-17-22)
b. Living with his ineligible spouse.
			 (3-17-22)
c. Living with another
			 participant who is not his spouse. (3-17-22)
d. Living in another's household. This
			 includes a living arrangement where the participant purchases lodging (room)
			 and meals (board) from his parent, child or sibling. (3-17-22)
e. Living with his TAFI child.
			 (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.502 - SPECIAL NEEDS ALLOWANCES

Current through August 31, 2023
Special needs allowances are a restaurant meals allowance and a
				service animal food allowance. (3-17-22)
01.
Restaurant Meals
. The
			 restaurant meals allowance is fifty dollars ($50) monthly. A physician must
			 state the participant is physically unable to prepare food in his home. A
			 participant able to prepare his food, but living in a place where cooking is
			 not permitted, may be budgeted the restaurant meals allowance for up to three
			 (3) months. (3-17-22)
02.
Service Animal Food
. The service animal food allowance is
			 seventeen dollars ($17) monthly. The allowance is budgeted for a blind or
			 disabled participant, using a trained service animal. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.512 - ROOM AND BOARD HOME ALLOWANCE

Current through August 31, 2023
Room and board is a living arrangement where the participant
				purchases lodging (room) and meals (board) from a person he lives with who is
				not his parent, child or sibling. (3-17-22)
01.
Budgeted Room and Board
			 Allowance
. Beginning January 1, 2006, a participant living in a room and
			 board home is budgeted six hundred ninety-three dollars ($693). Beginning July
			 1, 2013, the Room and Board allowance will be adjusted annually by the
			 percentage of the annual cost-of-living increase in the federal SSI benefit
			 rate for a single person. This adjustment will be effective on January 1st of
			 each year. The room and board allowance increase will be rounded to the next
			 dollar. (3-17-22)
02.
Basic
			 Allowance for Participant in Room and Board Home
. A participant living
			 in a room and board home is budgeted seventy-seven dollars ($77) monthly as a
			 basic allowance. Beginning July 1, 2013, this basic allowance will be adjusted
			 annually by the percentage of the annual cost-of-living increase in the federal
			 SSI benefit rate for a single person. This adjustment will be effective on
			 January 1st of each year. The basic allowance increase will be rounded to the
			 nearest dollar. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.513 - RESIDENTIAL ASSISTED LIVING FACILITY AND CERTIFIED FAMILY HOME ALLOWANCES

Current through August 31, 2023
A participant living in a Residential Assisted Living Facility
				(RALF), in accordance with IDAPA 16.03.22, "Residential Assisted Living
				Facilities," or a Certified Family Home (CFH), in accordance with IDAPA
				16.03.19, "Certified Family Homes," is budgeted a basic allowance of ninety-six
				dollars ($96) monthly. Beginning July 1, 2013, this basic allowance will be
				adjusted annually by the percentage of the annual cost-of-living increase in
				the federal SSI benefit rate for a single person. This adjustment will be
				effective on January 1st of each year. The basic allowance increase will be
				rounded to the nearest dollar. (3-17-22)
01.
Budgeted Monthly Allowance Based On
			 Level of Care
. A participant is budgeted a monthly allowance for care
			 based on the level of care received as described in Section
			 515 of these rules. If the
			 participant does not require State Plan Personal Care Services (PCS), his
			 eligibility and allowances are based on the Room and Board rate in Section
			 512 of these rules.
			 (3-17-22)
02.
Care Levels and
			 Monthly Allowances
. Beginning January 1, 2006, care levels and monthly
			 allowances are those listed in Table 513.02 of these rules. Beginning July 1,
			 2013, the RALF and CFH allowances for participants living in a RALF or CFH on
			 State Plan PCS will be adjusted annually by the percentage of the annual
			 cost-of-living increase in the federal SSI benefit rate for a single person.
			 This adjustment will be effective on January 1st of each year. This increase
			 will be rounded to the next dollar.
TABLE 513.02 - STATE PLAN PCS CARE
						  LEVELS AND ALLOWANCES AS OF 1-1-06
Level of
						  Care
Monthly
						  Allowance
a.
Level I
Eight hundred and thirty-five dollars
						  ($835)
b.
Level II
Nine hundred and two dollars ($902)
c.
Level III
Nine hundred and sixty-nine dollars ($969)
(3-17-22)
03.
CFH Operated by Relative
. A
			 participant living in a Certified Family Home (CFH) operated by his parent,
			 child or sibling is not entitled to the CFH State Plan PCS allowances. He may
			 receive the allowance for a person living with a relative as described in
			 Section 501 of these
			 rules. A relative for this purpose is the participant's parent, child, sibling,
			 aunt, uncle, cousin, niece, nephew, grandparent or grandchild by birth,
			 marriage, or adoption. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.514 - AABD CASH PAYMENTS

Current through August 31, 2023
Only a participant who receives an SSI payment for the month is
				eligible for an AABD cash payment in the same month. The AABD cash payment
				amount is based on the participant's living arrangement described in
				Subsections 514.01 through
				514.04 of this rule. An AABD
				cash payment is the difference between a participant's financial need and his
				countable income. If the difference is not an even dollar amount, AABD cash is
				paid at the next higher dollar. AABD cash is paid electronically as provided in
				IDAPA 16.03.20, "Electronic Payments of Public Assistance, Food Stamps, and
				Child Support." (3-17-22)
01.
Single Participant Maximum Payment
. For a single participant
			 described in Section 501.01 of
			 these rules, the maximum monthly AABD cash payment amount is fifty-three
			 dollars ($53). (3-17-22)
02.
Couple or Participant Living with Essential Person Maximum Amount
.
			 For participants described in Subsection
			 501.02 of these rules, the
			 maximum monthly AABD cash payment amounts are: (3-17-22)
a. A couple receives twenty dollars ($20); or
			 (3-17-22)
b. A participant living
			 with essential person receives eighteen dollars ($18).
			 (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.515 - RESIDENTIAL AND ASSISTED LIVING FACILITY CARE AND CERTIFIED FAMILY HOME ASSESSMENT AND LEVEL OF CARE

Current through August 31, 2023
The participant's need for care, level of care, plan of care,
				and the licensed facility's ability to provide care is assessed by the Bureau
				of Long-Term Care (BLTC) when a participant is admitted. The BLTC must approve
				the placement before Medicaid can be approved. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.516 - CHANGE IN LEVEL OF CARE

Current through August 31, 2023
A change in the participant's level of care affects eligibility
				as described in Subsections
				516.01 and
				516.02 of this rule.
				(3-17-22)
01.
Increase in Level
			 of Care
. An increase in level of care is effective the month the BLTC
			 reassesses the level of care. (3-17-22)
02.
Decrease in Level of Care
.
			 When the BLTC verifies the participant has a decrease in his level of care, and
			 his income exceeds his new level of care, his Medicaid must be stopped after
			 timely notice. When the BLTC determines the participant no longer meets any
			 level of care, his eligibility and allowances are based on the Room and Board
			 rate in Section 512 of these
			 rules. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.521 - MOVE FROM RESIDENTIAL ASSISTED LIVING FACILITY OR CERTIFIED FAMILY HOME TO LIVING SITUATION OTHER THAN A NURSING HOME OR HOSPITAL

Current through August 31, 2023
A participant may move from a licensed facility to a living
				situation, other than a nursing home or hospital. No change to his Medicaid
				income limit is made, based on the move, until the next month. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.524 - MOVE FROM NURSING HOME OR HOSPITAL

Current through August 31, 2023
If a participant moves from a nursing home or hospital to a
				different living situation, other than a residential and assisted living
				facility or certified family home, his AABD cash for the month is determined as
				if he lived in his new situation the entire month. His AABD cash is his AABD
				allowances less his countable income. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.531 - COUPLE BUDGETING

Current through August 31, 2023
Income of an AABD participant and his participant spouse living
				in the same household is combined. The twenty dollar ($20) standard income
				disregard and the sixty-five dollar ($65) earned income disregard are
				subtracted once a month, per couple. Each member of a couple living in an
				institution must have income budgeted as a single person. A couple living
				together as of the first day of a month, is counted as living together
				throughout that month. Budgeting as a couple continues through the month the
				couple stops living together. For couple budgeting, a household is a home, a
				rental, another's household, or room and board. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.540 - STANDARD DISREGARD

Current through August 31, 2023
The standard disregard is twenty dollars ($20). The standard
				disregard is first subtracted from unearned income. If the unearned income is
				less than the standard disregard, the remainder of the standard disregard is
				subtracted from earned income. The participant retains the standard disregard
				for his personal use. (3-17-22)
01.
Standard Disregard and a Couple
. Subtract the standard disregard
			 only once a month from the combined income of a couple in the same household.
			 (3-17-22)
02.
Standard
			 Disregard Exception
. The standard disregard must not be subtracted from
			 nonservice-connected VA payments, Title IV-E foster care payments, or BIA
			 General Assistance. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.541 - SUBTRACTION OF EARNED INCOME DISREGARDS

Current through August 31, 2023
Earned income disregards are subtracted from AABD earned income
				in the order listed in Sections
				542 through
				547. They are subtracted the month
				the income is paid. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.542 - SIXTY-FIVE DOLLAR EARNED INCOME DISREGARD

Current through August 31, 2023
Sixty-five dollars ($65) of earned income in a month are not
				counted. Subtract the sixty-five dollar ($65) disregard only once a month from
				the combined income of a couple in the same household. The sixty-five dollar
				($65) disregard is a work incentive. The participant retains the sixty-five
				dollar ($65) disregard for his personal use. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.543 - IMPAIRMENT-RELATED WORK EXPENSE (IRWE) DISREGARD

Current through August 31, 2023
Impairment-related work expenses are items and services needed
				and used by a disabled AABD participant to work. The items must be needed
				because of the participant's impairment. The items may be bought or rented. The
				cost for impairment-related work expenses is subtracted from the participant's
				earned income, for eligibility and AABD cash amount. An item disregarded as a
				blindness work expense, or as part of a PASS, cannot be disregarded as an
				impairment-related work expense. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.544 - ONE-HALF REMAINING EARNED INCOME DISREGARD

Current through August 31, 2023
One-half (1/2) of remaining earned income, after the IRWE is
				subtracted, is not counted. The one-half (1/2) of remaining earned income is a
				work incentive. The participant retains the one-half (1/2) of remaining earned
				income for his personal use. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.545 - BLINDNESS WORK EXPENSE DISREGARD

Current through August 31, 2023
The cost of earning income is subtracted from the earned income
				of a blind person. The blind person must be under age sixty-five (65). If the
				blind person is age sixty-five (65) or older, he must receive SSI for
				blindness, or have received AABD the month before he became sixty-five (65).
				(3-17-22)
01.
Blind Work Expense
			 Limit
. Blindness work expenses are subtracted from earned income. The
			 amount subtracted must not exceed the participant's monthly earnings.
			 (3-17-22)
02.
No Duplication
			 for Blind Work Expenses
. Expenses, subtracted under the
			 impairment-related work expense disregard, cannot be subtracted again under
			 this disregard. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.546 - PLAN TO ACHIEVE SELF-SUPPORT (PASS)

Current through August 31, 2023
A blind or disabled participant, with an approved plan to
				achieve self-support (PASS), must have income and resources disregarded.
				Conditions for this disregard are listed in Subsections
				546.01 through
				546.03. (3-17-22)
01.
Under Age Sixty-Five
. The
			 participant must be under sixty-five (65), or receive AABD for the blind or
			 disabled during the month of his sixty-fifth birthday. (3-17-22)
02.
Approved PASS
. A participant
			 receiving SSI must have a PASS approved by SSA. A participant not receiving SSI
			 must have a PASS approved by the Department. (3-17-22)
03.
Income Necessary for
			 Self-Support
. The income and resources disregarded under the PASS must
			 be necessary for the participant to achieve self-support. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.547 - PASS APPROVED BY DEPARTMENT

Current through August 31, 2023
A PASS approved by the Department must be in writing. The PASS
				must contain all the items in Subsections
				547.01 through
				547.06. (3-17-22)
01.
Occupational Objective
. The
			 PASS must have a specific occupational objective. (3-17-22)
02.
Specific Goals
. The PASS
			 must have specific goals for using the disregarded income and resources to
			 achieve self-support. (3-17-22)
03.
Time Limit
. The PASS must show a specific target date to achieve
			 the goal. An approved PASS is limited to an initial period of eighteen (18)
			 months. Extensions may be granted if needed. (3-17-22)
a. The first extension period lasts up to
			 eighteen (18) months. (3-17-22)
b.
			 A second eighteen (18) month extension period can be granted.
			 (3-17-22)
c. A final extension, up
			 to twelve (12) months can be granted. The PASS can be extended a total of
			 forty-eight (48) months, when the original PASS goal required extensive
			 education or vocational training. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.600 - DEPARTMENT NOTICE RESPONSIBILITY

Current through August 31, 2023
The participant must be notified of changes in eligibility or
				AABD cash amount. The notice must give the effective date, the reason for the
				action, the rule that supports the action, and appeal rights. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.601 - ADVANCE NOTICE RESPONSIBILITY

Current through August 31, 2023
When a reported change results in closure or decrease, the
				participant must be notified at least ten (10) calendar days before the
				effective date of the action. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.602 - ADVANCE NOTICE NOT REQUIRED

Current through August 31, 2023
Advance notice is not required when a condition listed in
				Subsections 602.01 through
				602.12 exists. The participant
				must be notified by the date of the action. (3-17-22)
01.
Death of Participant
. The
			 Department has proof of the participant's death. (3-17-22)
02.
Participant Request
. The
			 participant requests closure in writing. (3-17-22)
03.
Participant in Institution
.
			 The participant is admitted or committed to an institution. Further payments to
			 the participant do not qualify for federal financial participation under the
			 state plan. (3-17-22)
04.
Nursing Care
. The participant is placed in a nursing facility, or
			 Intermediate Care for Persons with Intellectual Disabilities.
			 (3-17-22)
05.
Participant
			 Address Unknown
. The participant's whereabouts are unknown. Department
			 mail is returned with no forwarding address. (3-17-22)
06.
Aid in Another State
. A
			 participant is approved for aid in another state. (3-17-22)
07.
Eligible One Month
. The
			 participant is eligible for aid only during the calendar month of his
			 application for aid. (3-17-22)
08.
Non-Citizen With Emergency
. The participant is an illegal or legal
			 non-citizen whose Medicaid eligibility ends the day his emergency medical
			 condition stops. (3-17-22)
09.
Retroactive Medicaid
. The participant's Medicaid eligibility is
			 for a prior period. (3-17-22)
10.
Special Allowance
. A special allowance granted for a specific
			 period is stopped. (3-17-22)
11.
Patient Liability
. Patient liability or client participation
			 changes. (3-17-22)
12.
Level
			 of Care
. The participant's level of care changes. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.604 - PARTICIPANT DETERMINED SSI ELIGIBLE AFTER APPEAL

Current through August 31, 2023
If the SSA finds a participant is blind or disabled, based on
				an appeal of an SSA decision, the participant meets the disability requirements
				for AABD cash and related Medicaid on the effective date determined by SSA.
				AABD cash payments are effective no earlier than the month SSA issues the
				favorable decision for SSI payments. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.605 - REPORTING REQUIREMENTS

Current through August 31, 2023
The participant must report changes in circumstances verbally
				or in writing, by the tenth of the month following the month in which the
				change occurred. The participant must show good cause for not reporting
				changes. If failure to report a change results in an overpayment, the
				overpayment must be recovered. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.606 - REQUIRED PROOF

Current through August 31, 2023
The participant must prove continuing eligibility for aid when
				a change could affect eligibility. The participant is allowed ten (10) calendar
				days to provide requested proof. The case is closed if the participant does not
				provide proof within ten (10) days and does not have good cause for not
				providing proof. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.607 - CHANGES AFFECTING ELIGIBILITY OR AABD CASH AMOUNT

Current through August 31, 2023
If a participant reports a change that results in an increase,
				AABD cash is increased effective the month of report. If a participant reports
				a change that results in a decrease, AABD cash is decreased or ended effective
				the first month after proper notice. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.608 - AABD CASH UNDERPAYMENT

Current through August 31, 2023
If the Department is at fault for issuing a payment less than
				the participant should have received, the Department issues a supplemental
				payment for the difference. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.609 - AABD CASH OVERPAYMENT

Current through August 31, 2023
If the participant is paid more AABD cash than he is eligible
				for, the Department must collect the overpayment. The Department must notify
				the participant of the right to a hearing, the method for repayment and the
				need for a repayment interview. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.610 - OFFSET OF OVERPAYMENT AND UNDERPAYMENT

Current through August 31, 2023
When an underpayment is computed, any overpayment for that
				month is subtracted from the underpayment. When an overpayment is computed, any
				underpayment for the month is subtracted. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.617 - HEARING REQUEST

Current through August 31, 2023
A participant may request a hearing to contest a Department
				decision. The participant must make the request within thirty (30) days of the
				date the Department mailed the notice of decision. Hearings will be conducted
				according to IDAPA 16.05.03, "Rules Governing Contested Case Proceedings and
				Declaratory Rulings." (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.618 - CONTINUED BENEFITS PENDING A HEARING DECISION

Current through August 31, 2023
The participant may continue to receive benefits upon request,
				pending the hearing decision. The Department must receive the participant's
				request for continued benefits before the effective date of the Department's
				action stated in the notice of decision. An applicant cannot receive continued
				benefits when appealing a denial for failure to provide citizenship and
				identity verification after the expiration of a reasonable opportunity period.
				(3-17-22)
01.
Amount of
			 Assistance
. The Department will continue the participant's assistance at
			 the current month's level while the hearing decision is pending, unless another
			 change affecting assistance occurs. (3-17-22)
02.
Continued Eligibility
. The
			 participant must continue to meet all eligibility requirements not related to
			 the hearing issue. (3-17-22)
03.
Overpayment
. When the hearing decision is in the Department's
			 favor, the participant must repay assistance received while the hearing
			 decision was pending. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED › Section 16.03.05.620 - MEDICAID OVERPAYMENT

Current through August 31, 2023
If the participant receives Medicaid services during a month he
				is not eligible, the Department must collect the overpayment. If too little
				patient liability or client participation is computed, the Department must
				collect the overpayment. The participant must be notified of the overpayment.
				(3-17-22)