The proposed rule updates the monthly federal poverty levels, the Food Assistance Program standard utility allowance, the average monthly private pay nursing facility rate and the life expectancy tables used in the Medicaid eligibility determination ...  


  • RULE NO.: RULE TITLE:
    65A-1.716: Income and Resource Criteria
    PURPOSE AND EFFECT: The proposed rule updates the monthly federal poverty levels, the Food Assistance Program standard utility allowance, the average monthly private pay nursing facility rate and the life expectancy tables used in the Medicaid eligibility determination process.
    SUMMARY: The proposed rule amends Medicaid Program standards used in the eligibility determination process.
    SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:
    The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the agency.
    The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: The Department considered the factors in Section 120.541, F.S. The proposed rule is not expected to exceed the criteria in paragraph 120.541(2)(a), F.S., therefore legislative ratification is not required under subsection 120.541(3), F.S.
    Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
    RULEMAKING AUTHORITY: 409.919 FS.
    LAW IMPLEMENTED: 409.902, 409.903, 409.904, 409.906, 409.919 FS.
    IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
    DATE AND TIME: March 14, 2012, 1:30 p.m.
    PLACE: 1317 Winewood Boulevard, Building 3, Room 455, Tallahassee, Florida 32399-0700
    Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 7 days before the workshop/meeting by contacting: Cindy Keil. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Cindy Keil, Economic Self-Sufficiency Program, 1317 Winewood Boulevard, Building 3, Tallahassee, Florida 32399-0700, (850)717-4113, cindy_keil@dcf.state.fl.us

    THE FULL TEXT OF THE PROPOSED RULE IS:

    65A-1.716 Income and Resource Criteria.

    (1) The monthly federal poverty level figures based on the size of the filing unit are as follows:

     

    Filing Unit

    Size

    88% of

    Poverty Guideline

    100% of

    Poverty Guideline

    120% of

    Poverty Guideline

    133% of

    Poverty Guideline

    135% of

    Poverty Guideline

    185% of

    Poverty Guideline

    200% of

    Poverty Guideline

    1

    $820 $683

    $931 $776

    $1,117 $931

    $1,239 $1032

    $1,257 $1048

    $1,723 $1436

    $1,862 $1552

    2

    $1,110 $916

    $1,261 $1041

    $1,513 $1249

    $1,677 $1385

    $1,703 $1406

    $2,333 $1926

    $2,522 $2082

    3

     

    $1,591 $1306

     

    $2,116 $1737

     

    $2,944 $2416

    $3,182 $2612

    4

     

    $1,921 $1571

     

    $2,555 $2090

     

    $3,554 $2907

    $3,842 $3142

    5

     

    $2,251 $1836

     

    $2,994 $2442

     

    $4,165 $3397

    $4,502 $3672

    6

     

    $2,581 $2101

     

    $3,433 $2795

     

    $4,775 $3887

    $5,162 $4202

    7

     

    $2,911 $2366

     

    $3,872 $3147

     

    $5,386 $4377

    $5,822 $4732

    8

     

    $3,241 $2631

     

    $4,311 $3500

     

    $5,996 $4868

    $6,482 $5262

    9

     

    $3,571 $2896

     

    $4,750 $3852

     

    $6,607 $5358

    $7,142 $5792

    10

     

    $3,901 $3161

     

    $5,189 $4204

     

    $7,217 $5848

    $7,802 $6322

    11

     

    $4,231 $3426

     

    $5,628 $4557

     

    $7,828 $6338

    $8,462 $6852

    12

     

    $4,561 $3691

     

    $6,066 $4909

     

    $8,438 $6829

    $9,122 $7382

    Add each

    add. person

     

    $330 $265

     

    $439 $353

     

    $611 $491

    $660 $530

    (2) through (5)(c)3. No change.

    4. Food Assistance Program Standard Utility Allowance: $343 $198.

    5. No change.

    (d) Average monthly private pay nursing facility rate: $6,880 $5,000.

    (e) The following life expectancy tables are compiled from information published by the Office of the Chief Actuary of the Social Security Administration:

     

    LIFE EXPECTANCY TABLE FEMALES

     

     

    Life

     

    Life

     

    Life

    Age

    Expectancy

    Age

    Expectancy

    Age

    Expectancy

    0

    80.43 79.24

    40

    41.91 40.80

    80

    9.43 8.92

    1

    79.92 78.77

    41

    40.97 39.85

    81

    8.86 8.37

    2

    78.95 77.81

    42

    40.03 38.92

    82

    8.31 7.85

    3

    77.97 76.83

    43

    39.10 37.99

    83

    7.77 7.34

    4

    76.99 75.85

    44

    38.17 37.06

    84

    7.26 6.86

    5

    76.00 74.86

    45

    37.24 36.13

    85

    6.77 6.40

    6

    75.01 73.88

    46

    36.32 35.21

    86

    6.31 5.96

    7

    74.02 72.89

    47

    35.41 34.29

    87

    5.87 5.54

    8

    73.03 71.90

    48

    34.50 33.38

    88

    5.45 5.15

    9

    72.04 70.91

    49

    33.59 32.47

    89

    5.06 4.78

    10

    71.04 69.91

    50

    32.69 31.56

    90

    4.69 4.44

    11

    70.05 68.92

    51

    31.80 30.66

    91

    4.36 4.12

    12

    69.06 67.93

    52

    30.91 29.77

    92

    4.04 3.83

    13

    68.07 66.94

    53

    30.02 28.88

    93

    3.76 3.56

    14

    67.08 65.95

    54

    29.14 28.00

    94

    3.50 3.31

    15

    66.09 64.97

    55

    28.27 27.13

    95

    3.26 3.09

    16

    65.11 63.99

    56

    27.40 26.27

    96

    3.05 2.89

    17

    64.13 63.01

    57

    26.53 25.41

    97

    2.87 2.72

    18

    63.15 62.04

    58

    25.67 24.57

    98

    2.70 2.55

    19

    62.18 61.07

    59

    24.82 23.73

    99

    2.54 2.40

    20

    61.20 60.09

    60

    23.97 22.90

    100

    2.39 2.26

    21

    60.23 59.12

    61

    23.14 22.08

    101

    2.25 2.12

    22

    59.26 58.15

    62

    22.31 21.28

    102

    2.11 1.99

    23

    58.29 57.18

    63

    21.49 20.48

    103

    1.98 1.87

    24

    57.32 56.20

    64

    20.69 19.70

    104

    1.86 1.75

    25

    56.35 55.23

    65

    19.89 18.93

    105

    1.74 1.63

    26

    55.38 54.26

    66

    19.10 18.18

    106

    1.62 1.52

    27

    54.40 53.29

    67

    18.32 17.44

    107

    1.52 1.42

    28

    53.44 52.31

    68

    17.55 16.71

    108

    1.41 1.32

    29

    52.47 51.34

    69

    16.79 16.00

    109

    1.31 1.23

    30

    51.50 50.37

    70

    16.05 15.29

    110

    1.22 1.14

    31

    50.53 49.40

    71

    15.32 14.59

    111

    1.13 1.05

    32

    49.56 48.44

    72

    14.61 13.91

    112

    1.05 0.97

    33

    48.60 47.47

    73

    13.91 13.23

    113

    0.97 0.90

    34

    47.64 46.51

    74

    13.22 12.57

    114

    0.89 0.82

    35

    46.68 45.55

    75

    12.55 11.92

    115

    0.82 0.76

    36

    45.72 44.59

    76

    11.90 11.29

    116

    0.75 0.71

    37

    44.76 43.64

    77

    11.26 10.67

    117

    0.70 0.65

    38

    43.81 42.69

    78

    10.63 10.07

    118

    0.64 0.60

    39

    42.86 41.74

    79

    10.03 9.49

    119

    0.59 0.55

     

     

     

    LIFE EXPECTANCY TABLE MALES

     

    Life

     

    Life

     

    Life

    Age

    Expectancy

    Age

    Expectancy

    Age

    Expectancy

    0

    75.38 73.90

    40

    37.84 36.39

    80

    7.90 7.23

    1

    74.94 73.50

    41

    36.93 35.49

    81

    7.41 6.78

    2

    73.98 72.54

    42

    36.02 34.59

    82

    6.94 6.35

    3

    73.00 71.57

    43

    35.12 33.69

    83

    6.49 5.94

    4

    72.02 70.59

    44

    34.22 32.08

    84

    6.06 5.55

    5

    71.03 69.60

    45

    33.33 31.92

    85

    5.65 5.18

    6

    70.04 68.62

    46

    32.45 31.04

    86

    5.26 4.84

    7

    69.05 67.63

    47

    31.57 30.17

    87

    4.89 4.52

    8

    68.06 66.64

    48

    30.71 29.31

    88

    4.55 4.21

    9

    67.07 65.65

    49

    29.84 28.45

    89

    4.22 3.93

    10

    66.08 64.66

    50

    28.99 27.60

    90

    3.92 3.67

    11

    65.09 63.67

    51

    28.15 26.75

    91

    3.64 3.42

    12

    64.09 62.68

    52

    27.32 25.90

    92

    3.38 3.20

    13

    63.10 61.69

    53

    26.49 25.07

    93

    3.15 2.99

    14

    62.12 60.71

    54

    25.68 24.24

    94

    2.93 2.80

    15

    61.14 59.74

    55

    24.87 23.42

    95

    2.75 2.63

    16

    60.18 58.78

    56

    24.06 22.61

    96

    2.58 2.48

    17

    59.22 57.82

    57

    23.26 21.81

    97

    2.44 2.34

    18

    58.27 56.88

    58

    22.48 21.03

    98

    2.30 2.21

    19

    57.33 55.94

    59

    21.69 20.25

    99

    2.19 2.10

    20

    56.40 55.00

    60

    20.92 19.48

    100

    2.07 1.99

    21

    55.47 54.07

    61

    20.16 18.73

    101

    1.96 1.88

    22

    54.54 53.15

    62

    19.40 17.98

    102

    1.85 1.78

    23

    53.63 52.22

    63

    18.66 17.25

    103

    1.75 1.68

    24

    52.71 51.30

    64

    17.92 16.54

    104

    1.66 1.58

    25

    51.78 50.37

    65

    17.19 15.84

    105

    1.56 1.49

    26

    50.86 49.44

    66

    16.48 15.16

    106

    1.47 1.40

    27

    49.93 48.50

    67

    15.77 14.50

    107

    1.39 1.32

    28

    49.00 47.56

    68

    15.08 13.86

    108

    1.30 1.24

    29

    48.07 46.62

    69

    14.40 13.23

    109

    1.22 1.16

    30

    47.13 45.68

    70

    13.73 12.61

    110

    1.15 1.09

    31

    46.20 44.74

    71

    13.08 12.01

    111

    1.07 1.02

    32

    45.27 43.80

    72

    12.44 11.42

    112

    1.00 0.95

    33

    44.33 42.87

    73

    11.82 10.84

    113

    0.94 0.89

    34

    43.40 41.93

    74

    11.21 10.28

    114

    0.87 0.82

    35

    42.47 41.00

    75

    10.62 9.73

    115

    0.81 0.76

    36

    41.54 40.07

    76

    10.04 9.20

    116

    0.75 0.71

    37

    40.61 39.14

    77

    9.48 8.68

    117

    0.70 0.65

    38

    39.68 38.22

    78

    8.94 8.18

    118

    0.64 0.60

    39

    38.76 37.31

    79

    8.41 7.69

    119

    0.59 0.55

    Rulemaking Specific Authority 409.919 FS. Law Implemented 409.902, 409.903, 409.904, 409.906, 409.919 FS. History–New 10-8-97, Amended 12-9-99, 2-15-01, 11-25-01, 7-28-02, 4-1-03, 9-10-03, 8-30-04, 8-10-06,________.


    NAME OF PERSON ORIGINATING PROPOSED RULE: Jeri Flora
    NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: David E. Wilkins
    DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 17, 2012
    DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: December 16, 2011

Document Information

Comments Open:
2/17/2012
Summary:
The proposed rule amends Medicaid Program standards used in the eligibility determination process.
Purpose:
The proposed rule updates the monthly federal poverty levels, the Food Assistance Program standard utility allowance, the average monthly private pay nursing facility rate and the life expectancy tables used in the Medicaid eligibility determination process.
Rulemaking Authority:
409.919 FS.
Law:
409.902, 409.903, 409.904, 409.906, 409.919 FS.
Contact:
Cindy Keil, Economic Self-Sufficiency Program, 1317 Winewood Boulevard, Building 3, Tallahassee, Florida 32399-0700, (850)717-4113, cindy_keil@dcf.state.fl.us
Related Rules: (1)
65A-1.716. Income and Resource Criteria