Page 437

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

age 18. MNIL #2: Eligibility for the stepchild will be determined in a 2 person MNIL that includes only the stepchild and the natural/adoptive parent. Their income will be considered in full. The stepparent’s and half-sibling’s income will be disregarded. MNIL #3: Eligibility for the natural parent of the stepchild will be determined in an MNIL that includes only the natural parent and the stepchild, with their income considered along with the deemed, using form DCO-72, income of the step- parent. Disregard the half-sibling’s income.

If there is a step-child who resides in an UP-MN household, the step-child would be set up in the case with his/her natural parent, step-parent and step-siblings. The UP-MN case will include the step-child, the step-child’s natural parent, that parent’s spouse, and their child(ren) in common. If the stepparent’s income cause ineligibility for the step-child, the step-child can then be set up in a separate Medicaid case, other than UP-MN, with his/her natural parent included in the budget in closed status. The UP-MN case would be set up to include the step-child’s natural parent, that parent’s spouse, and their child(ren) in common but not the stepchild. There is no deeming of income in UP-MN determinations. 6) In minor parent households, deeming of the income of a grandparent not included in the assistance unit to a grandchild in the unit is prohibited. However, the grandparent’s income will be deemed to the minor parent. Therefore, in minor parent situations where the grandmother is not included, there will be 2 MNIL’s, and 2 Medicaid cases. EXAMPLE: A grandmother applies for AFDC-MN for her minor daughter and the daughter’s infant. MNIL #1: For infant eligibility, the MNIL unit of 2 will include the minor parent and the infant, with only their income considered. Disregard the grandparent’s income. MNIL #2: For the minor parent’s eligibility, include theminor parent and infant in a 2 person MNIL, with their income, plus the deemed income of the grandparent. When the grandparent chooses to be included in the unit, the grandparent and the grandparent’s full income will be included in the MNIL with the minor parent and infant and their income - one MNIL for 3 persons and one case.