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3000.00.00 ELIGIBILITY STANDARDS

Each program has separate standards established by law or regulation which must be used to determine eligibility for assistance. This chapter includes information on the following:

• Resource Limits (Section 3005) • Facility Private Pay Rate (Section 3006) • Income/Need Standards (Section 3010) • MA Earned Income Disregard (Section 3035) • General Income Disregard (Section 3040) • Medicare Part D Benchmark (Section 3041) • General Earned Income Disregard (Section 3045) • Substantial Gainful Activity (Section 3046) • Minimum Earnings for MEDWorks Improved Category (Section 3047).

3005.00.00 RESOURCE LIMITS

The resource limit is the maximum value of nonexempt resources which an assistance group (AG) may retain in order to be eligible for assistance.

3005.10.00 RESOURCE LIMITS (MED 1)

The resource limit is dependent upon the category of assistance and the composition and living arrangement of the AG.1

The resource limits for Aged, Blind, and Disabled categories (MA A, MA B, and MA D) are as follows:

$2000 for an applicant/member, who is single or whose spouse qualifies as a "community spouse". For those in an institution, PACE members or on an HCBS waiver, MCCA rules apply.2

Example 1: Ann is in a Medicaid Certified Facility and applying for Medicaid. Ann’s spouse John, who is living in the community, has also applied under Med 1. The resource standard for Ann would follow the resource standards under MCCA at point of initially determining eligibility. After the 90-day protective period, Ann’s resource limit would be $2000. John would also have a $2000 resource limit.