When more than one source pays for the food and shelter (e.g., several third parties,
or the individual and the institution) follow the procedure for third party payment.
In addition, use the following guidelines.
Determine the source of the payments for the CMV of food and shelter. If any of the
payments toward food and shelter can be excluded, use them in the computation first.
Do not count as ISM that portion of a payment to the institution that exceeds the
CMV of food and shelter. For example, payments made to the institution to provide
personal services to the individual are not ISM.
EXAMPLE 1: Both Individual and Third Party Pay — No ISM
Ms. Malone resides in the Hillcrest Home for the Aged, a private for-profit residential
home for the aged. The home's total charge is $800 per month, of which $425 is for
food and shelter (the CMV). Ms. Malone uses her SSI benefits to pay $425 per month.
Her sister pays the balance of $375. Because Ms. Malone pays the CMV of the food and
shelter, she does not receive countable ISM. The $375 paid by her sister is for personal
care and services and is not counted as ISM or income.
EXAMPLE 2: Both Individual and Third Party Pay — ISM Counted
Mr. Jones also resides in the Hillcrest Home. The home's total charge is $800 per
month, of which $425 is for food and shelter (the CMV). Mr. Jones pays $300 per month
for his own care. His brother pays the remaining $500 each month. Mr. Jones is charged
with $125 of ISM ($425 CMV minus his payment of $300). Although his brother pays $500
per month, only $125 counts as ISM. Any payments the brother makes in excess of the
CMV amount do not count as ISM.