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MEDICAL SERVICES POLICY MANUAL,SECTION O O-700 Income Determination for Medically Needy Program O 720 Determination of Household Size Used for MN Income Consideration

a. SSI cash assistance recipients and their income are excluded. They cannot be considered in a second eligibility determination. b. AFDC and U-18 Related - Determination of household size for AFDC and U-18 related MN is made as follows. The income of non-SSI individuals may be considered in more than one MNIL. 1) The eligible child(ren) and the natural/adoptive parent(s) in the home will be included in the MNIL unit. A parent may choose to exclude a child and that child’s income from a case budget if inclusion of that child and the child’s income would cause ineligibility for the other children. Children may also be excluded for other reasons, and the parent who applies need not state the reason. 2) Step-parents may be included in the MNIL with their stepchildren as long as the step-parent’s income does not cause ineligibility for the step-children. 3) If the step-parent is not included in the MNIL, the step-parent’s income will be disregarded in the MNIL ofhis/her step-child. If the step-parent’s spouse who is the natural/adoptive parent of the step-child requests assistance, the step- parent’s income will be deemed, using form DCO-72, Deeming Worksheet, to the spouse. EXAMPLE: A husband and wife have living in their home a child by his former marriage. Both the man and his child request assistance. MNIL #1: To determine the child’s eligibility use the 2 person MNIL to include the father and child and their income only. Disregard the wife’s income. MNIL #2: To determine the man’s eligibility, use again the 2 person MNIL (father and child) with their income included. The income of the wife would be deemed, using form DCO-72, to the unit. 4) A step-child can be in the same MNIL with children of his/her step-parent. 5) In step-parent households when a natural/adoptive parent of the stepchild requests assistance and when the natural/adoptive parent and the step-parent have a child of their own, they all can be budgeted in the same case as long as the step-parent’s income does not cause Medicaid ineligibility for the step- child(ren). EXAMPLE: A husband and wife have a child, and the wife has a child by a former marriage. Assistance is requested for both children and the wife. MNIL #1: Eligibility for their child in common will be determined in a 3 person MNIL, with all the income of the husband, wife, and their child considered. Only the child can be found eligible in U-18-MN, assuming that both parents are over