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If a DAC member is in a nursing home or is on an approved HCBS waiver, then the post-eligibility budget will form and the SIL budget applies (see IHCPPM 3455.14.00 and 3010.20.15). 69 70 To get the SIL budget to form correctly, the worker should take the entire RSDI amount, subtract the SSI maximum allotment (see example below) and enter that amount on the Unearned Income-Details page in the eligibility system. The remaining amount would then be entered as SSD income. The budget would correctly reflect the liability.

2414.10.15 PICKLE RULE This rule is named after former U.S. Representative James Pickle. Individuals who would continue to receive SSI but for an increase in their in other benefits from the SSA due to the annual cost-of-living-adjustment (COLA) increases are considered eligible for Medicaid. This only applies to those that would continue receiving SSI, not SSDI payments.

2414.10.20 DISABLED WIDOWS OR WIDOWERS When an SSI recipient who is at least 60 through 64 years of age, is a widow or widower, and loses SSI benefits solely due to receipt of other new or increased benefits from Social Security, and the individual is not entitled to Medicare Part A, the person is automatically eligible for Medicaid.71 The person’s countable income from Social Security should be reduced to the applicable SSI benefit amount.

When an SSI recipient who is at least 50 through 59 years of age, is a widow or widower, and loses SSI benefits solely due to receipt of other new or increased benefits from Social Security, and the individual is not entitled to Medicare Part A, the person’s countable income from Social Security should be reduced to the applicable SSI benefit amount. Individuals who have been receiving the special income disregard under Darling v. Bowen in IHCPPM 3455.05.05.25 are entitled to Medicaid eligibility as long as they have been continuously entitled and maintained entitlement to widow’s or widower’s disability benefits from Social Security.72 DAC member is receiving $2000 a month. In 2017, the SSI allotment is $735. In the Eligibility System, enter SSI income of $735, and the remaining amount of $1265 as SSD (total amount of $2000 - $735 = $1265).