OLTL Issues Info on Personal Care Home SSI Supplement

The Office of Long-Term Living (OLTL) issued information and clarification on the recent increase to the Personal Care Home (PCH) Supplement for PCH residents currently receiving Supplemental Security Income (SSI) or currently meeting SSI disability and income criteria while applying for SSI.

In August of 2022, the Pennsylvania legislature approved an increase to the PCH Supplement, retroactive to July 1, 2022. The supplement was increased from $439.30 to $639.30 for individuals and from $957.40 to $1357.40 for married couples. The Social Security Administration (SSA) administers both the federal SSI benefit and the PCH supplement. In January 2023, SSA applied the increase and began issuing retroactive payments in lump sums.

As indicated in the Personal Care Home regulations, 55. PA Code Chapter 2600, “If a home agrees to admit a resident eligible for SSI benefits, the home’s charge for actual rent and other services may not exceed the SSI resident’s actual current monthly income reduced by the current personal needs allowance.”

For the purpose of applying the regulations to the PCH Supplement increase, a resident’s actual monthly income should be calculated by including the increased PCH supplement beginning July 1, 2022, and applied as follows:

• Residents and/or Representative Payees are expected to provide these retroactive payments to the PCH.
• If a resident was admitted to a PCH between July 1, 2022, and the issuance of the retroactive benefit, the PCH is only entitled to the monthly increase for the months that the resident resided in the PCH.
• If the resident lived in another PCH prior to admission to their current PCH, the resident and/or representative payee should ensure that the appropriate monthly portions of the retroactive benefit are paid to both the discharging and admitting facilities.
• Resident-Home Contracts are not required to be updated for the retroactive benefit; however, contracts are required to reflect the actual charges for room, board, and services no later than March 31, 2023.

Questions about the status of individual retroactive and/or monthly SSI and PCH Supplement payments can be addressed by calling SSA at 800-772-1216. Additional questions about the application of the retroactive PCH Supplement increase can be directed via email. For information about applying for SSI and or the PCH Supplement, please contact your local agency.