Common use of Determination of Income Eligibility Clause in Contracts

Determination of Income Eligibility. ‌ For a household to be eligible for the CBRA program the combined household income must not exceed 50% of area median gross income as defined by HUD. Area Median Income (AMI) Limits can be located for each county at: xxx.xxxxxxx.xxx (Data Sets, Income Limits). Xxxxxx is money that is paid to, or on behalf of, any household member. Income includes the current gross income (annualized) of all adult (18 years and older) household members and unearned income attributable to a minor. Income eligibility determinations are based on the household’s income at program enrollment. Income inclusions and exclusions are listed in the Electronic Code of Federal Regulations, xxx.xxxx.xxx, Title 24 – Housing and Urban Development: Subtitle A 0-99: Part 5: Subpart F: Section 5.609 Annual Income. Use the CBRA Income Eligibility Worksheet (or equivalent) to calculate income based on hourly, weekly, or monthly payment information. Add the gross amount earned in each payment period that is documented and divide by the number of payment periods. This provides an average wage per payment period. Depending on the schedule of payments, use the following calculations convert the average wage into annual income: ✓ Hourly wage multiplied by hours worked per week multiplied by 52 weeks. ✓ Weekly wage multiplied by 52 weeks. ✓ Bi-weekly (every other week) wage multiplied by 26 bi-weekly periods. ✓ Semi-monthly wage (twice a month) multiplied by 24 semi-monthly periods. ✓ Monthly wage multiplied by 12 months. Eligibility Recertification ‌ Eligibility criteria must be reviewed annually for households enrolled in CBRA to determine whether the household remains eligible for the program. Documentation of Recertification of Eligibility ‌ Grantees must provide the CBRA Eligibility Recertification checklist form with the final determination of eligibility and documentation to support the determination in the client file. Documentation must be dated within 45 days of recertification date. If a household’s Behavioral health condition continues to impair capacity to address normal activities of daily living, and is expected to be of long duration, this should be indicated on the CBRA Eligibility Recertification checklist and no additional documentation is needed. In the case that behavioral health condition status has changed, the grantee should provide documentation that led them to determine this change in status. See 3.2.2.1 Documentation of a Behavioral Health Condition for appropriate documentation standards. At recertification, grantees must reassess the need and availability of supportive services for participants. Documentation that shows that program staff discussed supportive service needs, availability, and eligibility with the participant and an outline that documents the steps that will be taken to pair the participant with appropriate services must be kept in the client file. Acceptable documentation includes one of the following: 🗸 Statement from a Case Manager or CBRA provider staff verifying that reassessment of need for services was completed along with an outline of any steps that will be taken to pair the participant with appropriate services. 🗸 Statement from a long-term supportive services case manager or staff person verifying that reassessment of need for services was completed along with an outline of any steps that will be taken to pair the participant with appropriate services.

Determination of Income Eligibility. ‌ For a household to be eligible for the CBRA program the combined household income must not exceed 50% of area median gross income as defined by HUD. Area Median Income (AMI) Limits can be located for each county at: xxx.xxxxxxx.xxx (Data Sets, Income Limits). Xxxxxx is money that is paid to, or on behalf of, any household member. Income includes the current gross income (annualized) of all adult (18 years and older) household members and unearned income attributable to a minor. Income eligibility determinations are based on the household’s income at program enrollment. Income inclusions and exclusions are listed in the Electronic Code of Federal Regulations, xxx.xxxx.xxx, Title 24 – Housing and Urban Development: Subtitle A 0-99: Part 5: Subpart F: Section 5.609 Annual Income. Use the CBRA Income Eligibility Worksheet (or equivalent) to calculate income based on hourly, weekly, or monthly payment information. Add the gross amount earned in each payment period that is documented and divide by the number of payment periods. This provides an average wage per payment period. Depending on the schedule of payments, use the following calculations convert the average wage into annual income: ✓ Hourly wage multiplied by hours worked per week multiplied by 52 weeks. ✓ Weekly wage multiplied by 52 weeks. ✓ Bi-weekly (every other week) wage multiplied by 26 bi-weekly periods. ✓ Semi-monthly wage (twice a month) multiplied by 24 semi-monthly periods. ✓ Monthly wage multiplied by 12 months. Eligibility Recertification ‌ Eligibility criteria must be reviewed annually for households enrolled in CBRA to determine whether the household remains eligible for the program. Documentation of Recertification of Eligibility ‌ Grantees must provide the CBRA Eligibility Recertification checklist form with the final determination of eligibility and documentation to support the determination in the client file. Documentation must be dated within 45 days of recertification date. If a household’s Behavioral health condition continues to impair capacity to address normal activities of daily living, and is expected to be of long duration, this should be indicated on the CBRA Eligibility Recertification checklist and no additional documentation is needed. In the case that behavioral health condition status has changed, the grantee should provide documentation that led them to determine this change in status. See 3.2.2.1 Documentation of a Behavioral Health Condition for appropriate documentation standards. At recertification, grantees must reassess the need and availability of supportive services for participants. Documentation that shows that program staff discussed supportive service needs, availability, and eligibility with the participant and an outline that documents the steps that will be taken to pair the participant with appropriate services must be kept in the client file. Acceptable documentation includes one of the following: 🗸 Statement from a Case Manager or CBRA provider staff verifying that reassessment of need for services was completed along with an outline of any steps that will be taken to pair the participant with appropriate services. 🗸 Statement from a long-term supportive services case manager or staff person verifying that reassessment of need for services was completed along with an outline of any steps that will be taken to pair the participant with appropriate services.