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Residential Care Facility (RCF) Assistance Client Participation - Iowa

Client participation is the amount of the client’s own income that must be applied towards the cost of care in a residential care facility before state funds are used for that purpose.

All of a client’s countable income is applied to meet the cost of the client’s care in an RCF. The countable income is figured by applying the following deductions to the client’s gross income in the order listed:

1.   Impairment-related work expenses (IRWEs) for earned income, as defined by Supplemental Security Income (SSI)

2.   $65 work expense plus one-half of any remaining earned income.

3.   Personal needs allowance.

For the amount of the Personal needs allowance, Click on Desk Aid Supp. The Desk Aid for Supplemental Assistance contains the basic payment standards (payment amounts) for Supplemental Security Income (SSI) and the various State Supplementary Assistance programs.

If you are connected to the Internet you can click on Desk Aid for Supplemental Assistance to see the on-line Desk Aid.

NOTE: You must have Adobe Acrobat Reader installed in order to view the on-line version. If you do not have the Reader installed, you can download it free from: www.adobe.com/products/acrobat/readstep.html.

4.   Funds to meet the basic needs of a spouse living in the home of the client (SSI benefit amount for an individual minus the spouse’s countable income).

5.   Funds to meet the basic needs of a dependent child living with the spouse at home (SSI benefit amount for a dependent minus the dependent’s countable income minus the income of the parent at home that exceeds the SSI benefit for one).

6.   Any established unmet medical need of the resident.

7.   Any established unmet medical needs of the spouse and dependent if a diversion for their basic needs is also being made.

8.   The expenses of the previous living arrangement (See: RCF First Month Client Participation.)

Note: Do not allow the SSI $20 income disregard.

Also See:

·           Residential Care Facility Assistance Income Limits

·           Residential Care Facility Resource and Income Guidelines for Married Couples

·           Nonfinancial Eligibility for Residential Care Facility (RCF) Assistance

·           Resource and Income Guidelines for Residential Care Facility (RCF) Assistance

·           Overview of Iowa's State Administered State Supplementary Assistance Programs.

·           Overview of Benefits in Iowa

Source: DHS Employees’ Policy Manual

Title 6, Other Income Maintenance (IM) Programs

·     Chapter B, State Supplemental Assistance, Residential Care Facility Assistance, Client Participation.

Regulation citations: 441 IAC 52.1(3)"a"

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