Medicaid Policy                                                                 

 

385 Utah Community Supports Waiver (UCSW)

Effective Date: August 1, 2016

Previous Policy

 

This waiver is for people of all ages who have intellectual disabilities and other related conditions  and need help with activities of daily living. People on this waiver must meet a disabled, aged, blind, child or family Medicaid category.

 

DSPD determines the need for the level of care for this waiver.

Income Requirements

Use only the individual’s total income. Only the following types of income are not considered:

Austrian Reparation Payments

German Reparations Payments made by the Federal Republic of Germany.

Japanese and Aleutian Restitution Payments.

Netherlands Reparation Payments based on Nazi, but not Japanese, persecution during World War II.

Payments from the Agent Orange Settlement Fund or any other fund established pursuant to the settlement in regard to Agent Orange product liability litigation.

Radiation Exposure Compensation.

VA pensions limited to $90 per month under 38 U.S.C. 5503.

Subsidized Adoption payments.

From total income subtract:

100% FPL for the person’s needs.

Earned income deduction equal to the SSI Substantial Gainful Activity amount for disabled individuals and blind individuals (Table II).

Deduction for a spouse (431-9).

Deduction for a dependent family member (431-10).

Deduction for health insurance and medical expenses (431-12, 431-1, 461-5).

Any amount left is the amount of contribution to the cost of care.