Background
For nursing home residents whose primary payor source is Medicaid, the Personal Needs Allowance (PNA) is a monthly discretionary amount that can be spent on personal items such as toiletries, a phone service, stamps and stationery, or other similar items of their choice. The current Personal Needs Allowance is just $50. That’s not enough. It's time to Raise the PNA.
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Why It Matters
Under Medicaid, nursing facilities are responsible for providing a resident’s basic needs: nursing services, activities, room and board, and routine personal hygiene items. But Medicaid does not pay for other personal items or services that a resident deems necessary, meaningful, and therefore intrinsic to their overall wellbeing.
PNA Facts
- $50 in the 1980s is equivalent to $140 today.
- No federally set rule as to how often a state must increase their PNA.
- 33 states pay more than NY’s $50 (varies from $52-$200); this means 65% of states pay more than what NYS residents receive.
- This is important because it is the “only” source of income for many residents.
- Being able to pay for personal expenses is essential to maintain residents’ quality of life.
- It helps residents be able to age with dignity, independence, and financial security.
What the PNA Covers
The PNA covers anything Medicaid does not cover which includes expenses such as:
- Clothes, shoes or slippers
- Beauty/barber services
- Cell phone services
- Books/reading materials
- Writing materials (stamps, stationary, etc.)
- Cards to family/friends (i.e. birthday card)
- Favorite foods or treats
- Telephone, cable TV, internet
- Music
- Hobby materials
Other Background Resources
Please visit Consumer Voice's PNA Fact Sheet and PNA By State Chart for additional information.
About LTCOP
The Office of the State Long-Term Care Ombudsman is a programmatically independent advocacy service located within the New York State Office for the Aging. Points of view, opinions or positions of the Ombudsman Program do not necessarily represent the views, positions or policy of the New York State Office for the Aging.