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Chapter: 2200 Standard Filing Unit Program: MSSI, SFP 36 2240.0606.04 Definition of Family Member for Allocation (MSSI) The following policy is applicable only to ICP, MEDS-ICP, PACE, HCBS, and Institutional Hospice.

A family member can only include minor or dependent children, dependent parents or dependent siblings of the institutionalized or community spouse who are residing with the community spouse. Dependency may be of any kind, such as financial or medical.

2240.0606.05 Definition of Family Members considered as Household Members (MSP) The following policy is applicable only to Qualified Medicare Beneficiary (QMB), Specified Low- Income Beneficiary (SLMB) and Qualified Individual 1 (QI1). A dependent family member includes any other household members related by blood, marriage or adoption who is financially dependent and resides in the household of the eligible individual, their spouse or eligible couple for at least one-half of their financial support. 2240.0607 Treatment of Needs, Income, and Assets for SFU (MSSI, SFP) Passages 2240.0607 through 2240.0621 provide policy on the treatment of needs, income, and resources for individuals in the living arrangements described. For information on deeming, refer to Chapter 2600. 2240.0608 Individual with No Spouse/Dependents (MSSI, SFP) When the standard filing unit (SFU) consists of an individual with no spouse and no dependents, the income and asset standards for one must be used. Only the individual's income and assets are considered. There is no deeming or allocating of income or assets. This policy applies to community as well as institutional programs. 2240.0609 Individual/Not Living with Spouse (MSSI) The following policy applies only to MEDS-AD, EMA, QMB, SLMB, QI-1, Protected Medicaid, Medically Needy and Working Disabled Programs.

When the standard filing unit (SFU) consists of a married individual who is not living with their spouse, the income and asset standards for one must be used. Only the individual's income and assets are considered. There is no deeming or allocating of income and assets. 2240.0610 Couple/One Requests Medicaid (MSSI) The following policy is applicable only to MEDS-AD, EMA, Protected Medicaid, Medically Needy, and Working Disabled Programs.

If an individual is living with their spouse and only one is requesting or receiving Medicaid (or the spouse does not meet the technical criteria for the program), the income and assets must be deemed from the spouse who is not requesting assistance (or who does not meet the technical criteria). If there is not enough income to be deemed, the income standard for one is used. If there is enough income to deem, the individual must first pass the individual test for one. If they pass the individual income test, they must also pass the couple standard using deemed income from the spouse.

The following policy is applicable only to QMB, SLMB, and QI 1. If an individual is living with their spouse and only one is requesting or receiving Medicaid the income and assets must be deemed or counted from the ineligible spouse who is not requesting assistance. If there is not enough income to be deemed, the couple income limit is used to pass the income test.

Note: Regardless of the income standard used, the asset standard for a couple must be used.