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Chapter: 2200 Standard Filing Unit Program: MSSI, SFP 31 2240.0000 SSI-Related Medicaid, State Funded Programs This section discusses policy on mandatory and optional members of the SFU, whose needs must (or may) be included or excluded, whose income and assets must be included, and participation status codes used in FLORIDA. 2240.0100 STANDARD FILING UNIT (MSSI, SFP) The Standard Filing Unit (SFU) is the single individual or group of individuals whose income, assets, or needs are considered in the eligibility determination and benefit, income, and asset levels of the assistance group, because they share a legal or blood relationship and/or live together. Eligibility of the assistance group is based on a review of the total income and assets of all individuals in the SFU for MEDS-AD, Medically Needy, Protected Medicaid and Working Disabled. Eligibility of the assistance group does not include a review of the income and assets of the financially dependent individual who is considered in the SFU for QMB, SLMB and QI1. 2240.0200 ASSISTANCE GROUPS (MSSI, SFP) The assistance group is the individual(s) who meets the financial and technical eligibility requirements of the program for which they are applying. An assistance group member will always be an SFU member; however, an SFU member is not always a member of the assistance group. 2240.0600 SSI-RELATED STANDARD FILING UNIT (MSSI, SFP) The following topics are discussed in this section:
1. treatment of situations with both Family and SSI-Related Medicaid coverage groups; 2. definitions used; 3. treatment of needs, income, and assets for eligible members; 4. deeming exclusions; 5. treatment of assets when a child lives with a parent; and 6. participation status codes used in FLORIDA. 2240.0601 Family and SSI-Related Medicaid Groups (MSSI) Sometimes a family has members who are requesting or receiving assistance in both Family and SSI-Related coverage groups. This occurs due to the TCA standard filing unit policy and SSI budgeting requirements and when SSI income policy is more advantageous to the SSI-Related Medicaid member. When this happens, one or more members must be included in two SFUs, although they would be eligible for only one type of coverage. 2240.0602 Example of Dual SFU (MSSI) A family consisting of two parents (married to each other) and their two mutual children apply for assistance. The father is disabled (the disabled individual could also be a child). All family members’ needs, income, and assets would be considered in determining eligibility for the Family-Related Medicaid group. Both parents must be treated as a couple and their needs, income, and assets would be considered in determining the father’s eligibility for MSSI. 2240.0603 Definitions (MSSI, SFP) Passages 2240.0604.01 through 2240.0606.04 discuss definitions used in the standard filing unit policy.