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Chapter: 2400 Budgeting Income Program: MSSI, SFP 42 4. If income is received semimonthly, add two pay periods and divide by two to get the semimonthly average. 5. If income is received monthly, use the most recent month if representative.

The above amount is called the averaged amount and must be converted to a monthly amount. Variations of less than $5.00 do not need to be re-averaged until the next complete review or a change is reported.

Note: When an individual's income has just started or terminated in the current month, a full month's income is not budgeted; use only the amount actually received in the month or anticipated to be received.

Go to Step 4 to determine the monthly amount.

Step 4: Establish a monthly figure (see (1) and (2) below), to be used for budgeting. Use the actual amount determined in Step 2, averaged amount determined in Step 3, or the actual quarterly, semiannual or annual income.

1. For MEDS-AD, Institutional MEDS, OSS, Medically Needy, QMB, SLMB, WD, Protected Medicaid and HCDA:

a. for weekly: multiply by four b. for biweekly or semimonthly: multiply by two. c. for monthly: use monthly amount d. for income received quarterly, semiannually, or annually: divide by the number of months in the period it is intended to cover (quarterly, by three; semiannually by six).

Note: If converting income that is received quarterly, semiannually, or annually causes ineligibility, do not prorate; count income in the month it is actually received.

Note: For Institutional MEDS this step applies only to counting income for eligibility. Patient responsibility is computed using the same rules as ICP, Hospice, and HCBS.

2. For ICP, Hospice and HCBS: use the actual number of payments made in the month to convert to a monthly amount and determine individual's eligibility:

a. for weekly: use five weeks in months that have five payments and four weeks in months that have four payments. b. for biweekly: use two payments in months only two payments will be received; three payments in months where three payments will be received. c. for income received quarterly, semiannually, or annually, count income in the anticipated month of receipt. 2440.0511 How to Count Income for OSS (SFP) For eligibility and determining payment amount for the Optional State Supplementation Program: determine anticipated income, then average/prorate and convert to monthly amount using the methodology in passage 2440.0510 Step 4, (a). 2440.0512 How to Count Income for Patient Responsibility (MSSI) Take the following steps to determine what income of the individual to count in determining patient responsibility. Patient responsibility is computed the same for ICP, ICP-MEDS, Institutional Hospice and HCBS. (To determine the amount of income for the community spouse, follow the rules in passage 2440.0510.)