Leo Muldoon, an eligible individual, lives in Green Acres, a private, for-profit,
domiciliary care institution. From January through December 1989, his family paid
the institution $200 per month for his care and he was charged ISM equal to the PMV.
In December 1989, as a result of a new State law, the facility received increased
assistance based on need for Mr. Muldoon's care from January through December 1989.
Since this increased assistance rendered further family payments unnecessary and duplicated
past payments, the institution refunded all monies paid by the family in January through
December 1989 and notified them that no further payments would be required.