Implementation of the Personal Needs Allowance (PNA) Adjustment

As required by House Bill 54 (88th Legislature, Regular Session, 2023), the Health and Human Services Commission (HHSC) is directed to increase the minimum monthly personal needs allowance (PNA) for Medicaid beneficiaries of a nursing facility (NF) or related institution licensed under Chapter 242, Health and Safety Code, assisted living facility, intermediate care facility for individuals with an intellectual disability or related condition (ICF/IID), or other similar long-term care facility who receives medical assistance. The monthly PNA would increase from $60 to $75 for a person and from $120 to $150 for a couple.

The increase in the minimum PNA requires the Centers for Medicare & Medicaid Services (CMS) approval of a Medicaid State Plan Amendment (SPA). Subject to CMS approval, HHSC anticipates the increase in the PNA will be effective Jan. 1, 2024.

HHSC will publish a Provider Information Letter with more detaied later.

Email ICF/IID with any ICF/IID questions.