Leo Muldoon, an eligible individual, lives in Green Acres, a private, for-profit,
domiciliary care institution. From January through December 2023, Leo's family paid
the institution $400 per month for their care and Leo was charged in-kind support
and maintenance (ISM) equal to the presumed maximum value (PMV). In December 2023,
as a result of a new state law, the facility received increased assistance based on
need (ABON) for Leo's care from January through December 2023. 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
2023 and notified them that no further payments would be required.