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Administrative Plan 7/1/2025 Page 6-50 <br />Eligible Attendant Care [Notice PIH 2023-27] <br />Examples of attendant care expenses can include teaching a person with disabilities how to <br />perform day-to-day tasks independently like cleaning, bathing, doing laundry, and cooking. <br />Attendant care can be 24-hour care, or care during sporadic periods throughout the day. The <br />family determines the type of attendant care that is appropriate for the person with disabilities. <br />SAHA Policy <br />Attendant care expenses will be included for the period that the person enabled to work is <br />employed plus reasonable transportation time. The cost of general housekeeping and <br />personal services is not an eligible attendant care expense. However, if the person <br />enabled to work is the person with disabilities, personal services necessary to enable the <br />person with disabilities to work are eligible. <br />If the care attendant also provides other services to the family, SAHA will prorate the <br />cost and allow only that portion of the expenses attributable to attendant care that enables <br />a family member to work. For example, if the care provider also cares for a child who is <br />not the person with disabilities, the cost of care must be prorated. Unless otherwise <br />specified by the care provider, the calculation will be based upon the number of hours <br />spent in each activity and/or the number of persons under care. <br />Payments to Family Members <br />No disability assistance expenses may be deducted for payments to a member of an assisted <br />family [24 CFR 5.603(b)]. However, expenses paid to a relative who is not a member of the <br />assisted family may be deducted if they are not reimbursed by an outside source. <br />Necessary and Reasonable Expenses <br />The family determines the type of care or auxiliary apparatus to be provided and must describe <br />how the expenses enable a family member to work. The family must certify that the disability <br />assistance expenses are necessary and are not paid or reimbursed by any other source. <br />SAHA Policy <br />SAHA determines the reasonableness of the expenses based on typical costs of care or <br />apparatus in the locality. To establish typical costs, SAHA will collect information from <br />organizations that provide services and support to persons with disabilities. A family may <br />present, and SAHA will consider, the family’s justification for costs that exceed typical <br />costs in the area. <br />Families That Qualify for Both Health and Medical and Disability Assistance Expenses <br />SAHA Policy <br />This policy applies only to families in which the head or spouse is 62 or older or is a <br />person with disabilities. <br />When expenses anticipated by a family could be defined as either health and medical care <br />or disability assistance expenses, SAHA will consider them health and medical care <br />expenses unless it is clear that the expenses are incurred exclusively to enable a person <br />with disabilities to work. <br />EXHIBIT 1