Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.4 - Eligibility and Application

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Eligibility.
To be eligible for in-home health-related care:
a. The individual must be eligible for
				supplemental security income in every respect except for income.
b. A physician must certify in accordance
				with rule
				441-177.6 (249)
				that the individual requires either skilled services or personal care services
				and that those services can be provided in the individual's own home. The
				certification shall be provided using Form 470-0673.
c. The individual shall live in the
				individual's own home. Notwithstanding the foregoing, an individual will remain
				eligible for a period not to exceed 15 days in any calendar month when the
				client is temporarily absent from the client's home.
d. The individual shall obtain a physical
				examination report annually and shall be under the supervision of a
				physician.
e. The required skilled
				services or personal care services must not be available under any other state
				or federal program.
f. The
				countable income of the individual and spouse living in the home shall be
				limited to $480.55 per month if one needs care or $961.10 if both need care,
				after the following disregards from gross income:
(1) The amount of the basic supplemental
				security income standard for an individual or a couple, as
				applicable.
(2) When income is
				earned, $65.00 plus one-half of any remaining income.
(3) The amount of the supplemental security
				income standard for a dependent plus any established unmet medical needs, for
				each dependent living in the home. Any income of the dependent shall be applied
				to the dependent's needs before making this disregard.
(4) The amount of the established medical
				needs of the ineligible spouse which are not otherwise met.
(5) The amount of the established medical
				needs of the applicant or recipient which are not otherwise met and would not
				be met if the individual were eligible for the medical assistance
				program.
g. Income for
				children.
(1) All income received by the
				parents in the home shall be deemed to the child with the following disregards:
1. The amount of the basic supplemental
				security income standard for an individual when there is one parent in the home
				or for a couple when there are two parents in the home.
2. The amount of the basic supplemental
				security income standard for a dependent for each ineligible child in the
				home.
3. The amount of the unmet
				medical needs of the parents and ineligible dependents.
4. When all income is earned, an additional
				basic supplemental security income standard for an individual in a one-parent
				home or for a couple in a two-parent home.
5. When the income is both earned and
				unearned, $65.00 plus one-half of the remainder of the earned income.
(2) The countable income of the
				child shall be limited to $480.55 per month after the following disregards from
				gross income:
1. The amount of the basic
				supplemental security income standard for an individual.
2. The amount of the established medical
				needs of the child which are not otherwise met and would not be met if the
				child were eligible for the medical assistance program.
3. One-third of the child support payments
				received from an absent parent.