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MEDICAL SERVICES POLICY MANUAL,SECTION O O-700 Income Determination for Medically Needy Program O 730 Income Eligibility Determination for Exceptional Medically Needy

If there are 2 grandparents in the home and one grandparent chooses to be included in the medical assistance unit, income of the excluded grandparent will be deemed to the MNIL that determines eligibility of the included grandparent/minor parent but will not be deemed to the MNIL that determines eligibility of the grandchild. In this situation, there will be 2 MNIL’s and 2 Medicaid cases. MNIL #1: For infant eligibility, the MNIL unit will include the grandparent, minor parent, and infant. Totally disregard the excluded grandparent’s income, but include all other income. MNIL #2: For grandparent and minor parent eligibility include the same 3 members as above, and their income. Also include the deemed income of the excluded grandparent. The above rules will also apply to other relatives who care for a dependent child/ren, e.g., an aunt and uncle.  NOTE: In U-18-MN cases, a parent’s income is always counted in full in his/her own child’s case, i.e., there is no deeming of income from a parent to a minor parent in U-18-MN eligibility determinations. However the parent’s income will be disregarded in the eligibility determination of the minor parent’s child. For certification instructions when there are multiple cases in one household, refer to MS O-810. c. SSI Related (AABD) - The size of family unit for SSI related cases is as follows:  One person unit: Theone person or individual income level is used for AABD individuals not living with a spouse, or with a child who is blind or has a disability.  Two person unit: The two person level is used for AABD couples and for individual AABD determinations when there is an ineligible spouse. If the ineligible spouse is an SSI recipient, that spouse’s income is excluded from deeming. (Re. MS O-535) O-730 Income Eligibility Determination for Exceptional Medically Needy MS Manual 01/01/14 Income eligibility determinations for the Exceptional Medically Needy will be completed as follows: