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Citizenship/Immigration Criteria 1.4.2 There are no immigrant-related restrictions for this program; thus, SSRs should not inquire about the deceased's immigration status, the immigration status of the relative submitting the application, or the immigration status of the legally responsible relatives.

Determining Financial Eligibility 1.4.3 The assets of the deceased and his/her financially responsible relatives should be considered when determining financial eligibility. The financially responsible relatives are:

• the spouse of the deceased, if they were residing together at the time of death; and • the parents of the deceased, if the deceased was a minor child.

Countable assets shall include:

• financial accounts (savings and checking) of the deceased and his/her financially responsible relatives; • life insurance benefits already received by any financially responsible relatives; • cash available from the deceased and his/her legally responsible relative; and • the net monthly earned and unearned income of the deceased person and his/her financially responsible relatives that was received during the thirty (30) day days preceding the application for burial assistance, less the Medicaid Medically Needy Income Level, based on the household's size.

When the financially responsible relative is the parent(s) of the deceased, the household size includes the deceased, his/her parent(s), the minor children of the parent(s), and any other dependents of the parent(s). When the financially responsible relative is the spouse of the deceased, the household size includes the deceased, his/her spouse, the minor children of the spouse, and any other dependents of the spouse.

Example 1 John and Jane Smith are husband and wife who live together. They have no children. John dies on 3/24/04. John was not working at the time of his death. Jane is employed and her net monthly income is $2000.00. $2000.00 - Monthly net income received in 30 days preceding death. - 520.42 - Medically needy income level for h/h of 2 =$1479.58 - Countable Assets Because the countable assets of Mr. & Mrs. Smith are more than $800, Burial Assistance will be denied. Example 2 Thomas Jenkins, 17, was living with his mother Mary. Mary Jenkins has 3 surviving minor children and 2 adult children who reside with her. Mary receives $1000.00 monthly from unemployment benefits and one of her adult children receives net income of $3000.00 per month. Since Thomas's adult siblings are not financially responsible relatives, their income and needs are not considered when determining