The Department intends to amend Rule 65A-1.716, F.A.C., Income and Resource Criteria. The rule is amended annually or when there is a change in the figures used in the Medicaid eligibility determination process.

 

DEPARTMENT OF CHILDREN AND FAMILIES

Economic Self-Sufficiency Program

RULE NO.:RULE TITLE:

65A-1.716Income and Resource Criteria

PURPOSE AND EFFECT: The Department intends to amend Rule 65A-1.716, F.A.C., Income and Resource Criteria. The rule is amended annually or when there is a change in the figures used in the Medicaid eligibility determination process.

SUMMARY: The amendments accomplish the following: 1) Updates the federal poverty levels (FPL), 2) Adds income and asset limits for the Working People with Disabilities (WPwD) program, and 3) Updates life expectancy tables.

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 used a checklist to conduct an economic analysis and determine if there is an adverse impact or regulatory costs associated with this rule that exceeds the criteria in section 120.541(2)(a), F.S. Based upon this analysis, the Department has determined that the proposed rule is not expected to require legislative ratification.

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, F.S.

LAW IMPLEMENTED: 409.902, 409.903 409.904, 409.906, 409.919, F.S.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAR.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Jodi Abramowitz. Jodi can be reached at [e-mail].

 

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 family size are as follows:

Family Size	88% of Poverty Level	100% of Poverty Level	120% of Poverty level	133% of Poverty Level	135% of Poverty Level		185% of Poverty Level	200% of Poverty Level
1	$945 $916	$1,074 $1,041	$1,288 $1, 249	$1,428 $1,385	$1,449 $1,406		$1,986 $1,926	$2,147 $2,082
2	$1,278 $1,241	$1,452 $1,410	$1,742 $1,691	$1,931 $1,875	$1,960 $1,903		$2,686 $2,607	$2,904 $2,819
3		$1830 $1,778		$2,434 $2,365			$3,386 $3,289	$3,660 $3,555
4		$2,208 $2,145		$2,938 $2,854			$4,086 $3,970	$4,417 $4,292
5		$2,587 $2,515		$3,441 $3,344			$4,786 $4,652	$5,174 $5,029
6		$2965 $2,883		$3,944 $3,834			$5,486 $5,333	$5,930 $5,765
7		$3,344 $3,251		$4,447 $4,324			$6,186 $6,015	$6,687 $6,502
8		$3,722 $3,620		$4,950 $4,814			$6,886 $6,696	$7,444 $7,239
9		$4,100 $3,988		$5,453 $5,304			$7,585 $7,377	$8,200 $7,975
10		$4,478 $4,356		$5,957 $5,794			$8,285 $8,059	$8,957 $8,712
11		$4,857 $4,725		$6,460 $6,284			$8,985 $8,740	$9,714 $9,449
12		$5,235 $5,093		$6,963 $6,771			$9,685 $9,422	$10,470 $10,185
For each addtl. person	$329	$374 $369	$448	$497 $490			$691 $682	$747 $737

 

(2) through (3) No change.

(4) The maximum resource limit is $2,000 for those individuals receiving Temporary Cash Assistance (TCA):

(a) No change.

(b) Children Are children living with their parent(s) and who, as children, would qualify for cash assistance except for their age. The maximum resource limit of $2,000 also applies to those coverage groups indicated in Rule 65A-1.703, F.A.C. However, there is no asset limit for the coverage groups specified in paragraphs 65A-1.703(3) through (5), F.A.C.

(5) The SSI-Related Medicaid Program Standards:

(a) No change.

(b) The income limit which applies to an individual in Home and Community-Based Services (HCBS) Waivers waiver programs, Institutional Care Programs (ICP), and Hhospice is 300 percent of the Federal Benefit Rate (FBR) for individuals an individual. For an individual enrolled in HCBS Working People with Disabilites (WPwD) who is employed and age 21 years or older, the financial standards are:

1. Income limit of 550 percent of the FBR, $4,367 for an eligible individual or $8,734 for an eligible couple

2. Asset limit of $13,000 for an eligible individual or $24,000 for an eligible couple

(c) No change.

(d) The average monthly private pay nursing facility rate is $9,703 $9,485.

(e) The average monthly Medicaid rate is $7,224.

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

 

AGE	MALE LIFE EXPECTANCY	FEMALE LIFE EXPECTANCY		AGE	MALE LIFE EXPECTANCY	FEMALE LIFE EXPECTANCY
0	75.97	80.96		60	21.58	24.56
1	75.45	80.39		61	20.83	23.72
2	74.48	79.42		62	20.08	22.90
3	73.50	78.43		63	19.35	22.07
4	72.52	77.45		64	18.62	21.26
5	71.53	76.46		65	17.89	20.45
6	70.54	75.47		66	17.18	19.65
7	69.55	74.47		67	16.47	18.86
8	68.56	73.48		68	15.77	18.07
9	67.57	72.49		69	15.07	17.30
10	66.57	71.50		70	14.39	16.54
11	65.58	70.50		71	13.71	15.79
12	64.59	69.51		72	13.05	15.05
13	63.60	68.52		73	12.40	14.32
14	62.61	67.53		74	11.76	13.61
15	61.63	66.54		75	11.14	12.92
16	60.66	65.55		76	10.53	12.23
17	59.70	64.57		77	9.94	11.57
18	58.74	63.59		78	9.37	10.92
19	57.79	62.61		79	8.82	10.29
20	56.85	61.63		80	8.28	9.68
21	55.91	60.66		81	7.76	9.09
22	54.98	59.69		82	7.26	8.52
23	54.06	58.72		83	6.79	7.98
24	53.14	57.75		84	6.33	7.45
25	52.22	56.78		85	5.89	6.95
26	51.31	55.82		86	5.48	6.47
27	50.39	54.85		87	5.08	6.01
28	49.48	53.89		88	4.71	5.57
29	45.86	52.93		89	4.37	5.16
30	47.65	51.97		90	4.05	4.78
31	46.74	51.01		91	3.75	4.43
32	45.83	50.06		92	3.48	4.11
33	44.92	49.10		93	3.23	3.81
34	44.01	48.15		94	3.01	3.55
35	43.10	47.20		95	2.81	3.31
36	42.19	46.25		96	2.64	3.09
37	41.28	45.30		97	2.49	2.90
38	40.37	44.36		98	2.36	2.73
39	39.47	43.41		99	2.24	2.58
40	38.56	42.47		100	2.12	2.42
41	37.65	41.53		101	2.01	2.28
42	36.75	40.59		102	1.90	2.14
43	35.85	39.66		103	1.80	2.01
44	34.95	38.73		104	1.70	1.88
45	34.06	37.80		105	1.60	1.76
46	33.17	36.88		106	1.51	1.65
47	32.28	35.96		107	1.42	1.54
48	31.41	35.04		108	1.34	1.44
49	30.54	34.13		109	1.26	1.34
50	29.67	33.23		110	1.18	1.24
51	28.82	32.33		111	1.10	1.15
52	27.98	31.44		112	1.03	1.06
53	27.14	30.55		113	0.96	0.98
54	26.32	29.68		114	0.90	0.91
55	25.50	28.81		115	0.84	0.84
56	24.70	27.94		116	0.78	0.78
57	23.90	27.09		117	0.72	0.72
58	23.12	26.24		118	0.66	0.66
59	22.34	25.39		119	0.61	0.61

 

FEMALE LIFE EXPECTANCY TABLE
Age	Life Expectancy	Age	Life Expectancy	Age	Life Expectancy
0	80.99	40	42.50	80	9.74
1	80.43	41	41.56	81	9.15
2	79.46	42	40.62	82	8.58
3	78.48	43	39.69	83	8.04
4	77.49	44	38.76	84	7.51
5	76.50	45	37.83	85	7.01
6	75.51	46	36.90	86	6.53
7	74.52	47	35.98	87	6.07
8	73.53	48	35.07	88	5.64
9	72.54	49	34.16	89	5.23
10	71.54	50	33.26	90	4.85
11	70.55	51	32.36	91	4.50
12	69.56	52	31.48	92	4.18
13	68.56	53	30.59	93	3.88
14	67.57	54	29.72	94	3.67
15	66.58	55	2885	95	3.37
16	65.60	56	27.99	96	3.16
17	64.62	57	27.13	97	2.96
18	63.63	58	26.28	98	2.79
19	62.66	59	25.44	99	2.63
20	61.68	60	24.60	100	2.48
21	60.71	61	23.76	101	2.33
22	59.73	62	22.94	102	2.19
23	58.73	63	22.12	103	2.06
24	57.80	64	21.30	104	1.93
25	56.83	65	20.49	105	1.81
26	55.86	66	19.69	106	1.69
27	54.90	67	18.89	107	1.58
28	53.93	68	18.11	108	1.47
29	52.97	69	17.33	109	1.37
30	52.01	70	16.57	110	1.27
31	51.05	71	15.82	111	1.18
32	50.09	72	15.09	112	1.09
33	49.14	73	14.37	113	1.01
34	48.19	74	13.66	114	0.93
35	47.23	75	12.97	115	0.86
36	46.28	76	12.29	116	0.79
37	45.34	77	11.62	117	0.73
38	44.39	78	10.98	118	0.67
39	43.45	79	10.35	119	0.62
MALE LIFE EXPECTANCY TABLE
Age	Life Expectancy	Age	Life Expectancy	Age	Life Expectancy
0	76.04	40	38.59	80	8.34
1	75.52	41	37.69	81	7.82
2	74.55	42	36.78	82	7.32
3	73.58	43	35.88	83	6.84
4	72.59	44	34.98	84	6.38
5	71.60	45	34.08	85	5.69
6	70.62	46	33.19	86	5.52
7	69.63	47	32.30	87	5.12
8	68.64	48	31.43	88	4.75
9	67.64	49	30.55	89	4.40
10	66.65	50	29.69	90	4.08
11	65.66	51	28.84	91	3.78
12	64.66	52	27.99	92	3.50
13	63.67	53	27.16	93	3.25
14	62.68	54	26.34	94	3.03
15	61.70	55	25.52	95	2.83
16	60.73	56	24.72	96	2.66
17	59.76	57	23.93	97	2.51
18	58.81	58	23.15	98	2.37
19	57.86	59	22.37	99	2.25
20	56.91	60	21.61	100	2.13
21	55.98	61	20.85	101	2.02
22	55.05	62	20.11	102	1.91
23	54.13	63	19.37	103	1.81
24	53.22	64	18.65	104	1.71
25	52.30	65	17.92	105	1.61
26	51.38	66	17.20	106	1.52
27	50.47	67	16.49	107	1.43
28	49.55	68	15.78	108	1.35
29	48.63	69	15.09	109	1.27
30	47.72	70	14.40	110	1.19
31	46.80	71	13.73	111	1.11
32	45.89	72	13.07	112	1.04
33	44.97	73	12.43	113	0.97
34	44.06	74	11.80	114	0.91
35	43.15	75	11.18	115	0.84
36	42.23	76	10.58	116	0.78
37	41.32	77	10.00	117	0.73
38	40.41	78	9.43	118	0.67
39	39.50	79	8.88	119	0.62

 

Rulemaking 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, 4-15-12, 10-16-12, 11-4-12, 9-18-13, 2-26-20. Amended ____________

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Suzann Fauci

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Shevaun L. Harris

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: July 26, 2021

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: August 3, 2021