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Example A group of two receives a lump sum of $10,000. Its need standard is $560. The group is ineligible for 17 months with $480 available in the 18th month. After five months of ineligibility, the family re-applies. Twins were born during this time, and the family paid $1,000 in medical expenses. $560 original need standard for 2 x 5 number of months of ineligibility already used = $2,800 amount of income already used $10,000 original income – $2,800 amount of income already used – $1,000 medical expenses = $6,200 revised income amount $870 new need standard for 4 $6,200 revised income amount ÷ $870 new need standard for 4 = 7 additional moths of ineligibility The group is ineligible for 7 more months including the month of re-application with $110 available for the 8th month.
Do not apply this lump-sum/accrued benefit policy to the deemed income of a person who is not required to be in the group (see Section 5.4: Deeming Income in this Part). It is available for only one month. Apply the policy to lump sum/accrued benefits received by mandatory group members who are disqualified. Compute the period of ineligibility by including their needs in the need standard amount.
GC See TANF FS N/A
Determining Retroactive Eligibility 8.4.2 MA AR: When a person applies for Medicaid, s/he can also apply for three months of retroactive eligibility. In order to determine retroactive eligibility, determine the group's countable income (including income deemed from individuals outside the group) after applying applicable disregards (see Section 6.3: Income Disregards and Deductions in this Part) in each month of the three-month retroactive period. Compare countable income to the income standards listed in Exhibit VI-3: MA Income Standards. In each month in which the group's income is below the relevant income standard, the group meets all non-financial eligibility criteria, and, if applicable, the asset limit, the group is eligible for MA. If the group is ineligible for retroactive MA based on its income exceeding the income-eligibility