| (7) reimbursements from an insurance company for health
insurance claims; and
(8) grants, such as those made through the DADS In-Home
and Family Support Program.
(j) A provider must calculate an individual's income
deductions by adding:
(1) the prorated monthly cost of tuition and books
when enrolled in an accredited institution of higher education or
skills training program;
(2) $93 for the individual's spouse;
(3) $93 for each dependent of the individual;
(4) $93 for the individual;
(5) funds the law requires be withheld, such as deductions
for income taxes or to comply with the Federal Insurance Contributions
Act (FICA);
(6) amounts spent on disability-related equipment that
cost more than $500, such as wheelchair-compatible vans, vehicle modifications,
and power wheelchairs (not including transportation costs);
(7) amounts dedicated to be spent on disability-related
equipment that costs more than $500, such as wheelchair-compatible
vans, vehicle modifications, and power wheelchairs (not including
transportation costs), in accordance with the following requirements:
(A) the individual must identify to the provider the
equipment to be purchased and must submit to the provider a written
estimate of the cost of the equipment including a dealer's estimate
or an advertisement with a listed purchase price of comparable equipment;
(B) the individual must open a dedicated account for
the exclusive purpose of purchasing identified equipment;
(C) the first $500 deposited does not reduce the monthly
income;
(D) the individual must provide an estimate of the
amount deposited each month to the dedicated account, the date the
deposit is made each month, and the estimated date of the purchase;
(E) the individual must report each month to the provider
the actual amount deposited in the dedicated account for that month
and the accumulated total in the account;
(F) based on the individual's report, the provider
must make the corresponding deduction from the individual's monthly
income and any interest earned on the dedicated account will not be
included as income if the interest payments are eventually used to
purchase the equipment;
(G) the individual must report to the provider when
any funds are withdrawn from the account for any purpose other than
for the purchase of the equipment and the provider must include this
amount as income for the month in which these funds are withdrawn;
(H) the individual must report to the provider when
the funds are withdrawn from the account at the time the purchase
is made and furnish a sales receipt showing the purchase price and
date of purchase; and
(I) the individual must close the account after the
purchase of the equipment and report to the provider the amount of
any remaining funds, which the provider must include as income for
the month in which the account is closed;
(8) child-care costs (actual expenses the individual
paid to someone to care for his or her child, not including child
support payments) up to $350 per month for each child through age
5, and up to $200 per month for each child age 6-12;
(9) annualized costs of expenditures for health insurance
premiums for the individual and the individual's spouse and dependents,
and for medical treatment and prescriptions for the individual, the
individual's spouse and the individual's dependents that are not reimbursed
by insurance; and
(10) annual contributions to a retirement plan in an
amount up to 20 percent of the individual's total income as calculated
in accordance with subsection (f) of this section.
(k) To determine an individual's net monthly income
for co-payment purposes, a provider must:
(1) determine the individual's total monthly income
in accordance with subsection (f) of this section;
(2) subtract from that amount the income exclusions
calculated in accordance with subsection (i) of this section; and
(3) subtract from that amount the income deductions
calculated in accordance with subsection (j) of this section.
|
| Source Note: The provisions of this §275.201 adopted to be effective October 1, 2013, 38 TexReg 6606; transferred effective August 1, 2022, as published in the Texas Register July 8, 2022, 47 TexReg 3983 |
