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The policies in this section apply to the MA A, MA B, MA D, MADW, and MADI categories of assistance.

When Medicare or other insurance covers the nursing home per diem charges for an entire month, or partial month when the non-Medicare covered charges are less than the liability, the post-eligibility budget is still to be used. 3455.20.00 RCAP RELATED MEDICAID (MED 1) The income standard used in determining eligibility for MA R is 100% the FPL and are the same as those listed in section 3010.20.05 and 3010.20.05.05. The resource limits used in determining eligibility for MA R are the same as listed in section 3005.10.00. The liability to the RCAP facility is not a Medicaid liability and is not computed by the eligibility system. 3455.25.00 BUDGETING INCOME-IN-KIND (MED 1) The policies stated in this section apply only to the MA A, MA B, and MA D categories of assistance. When someone pays for all the applicant's/recipient's shelter, income-in-kind is received. The amount to be budgeted as income is the actual value of the in-kind support and maintenance received not to exceed one-third of the applicable federal benefit rate for SSI. The one-third value is determined by dividing the federal benefit rate for SSI by three. The federal benefit rate for SSI can be found at https://www.ssa.gov/oact/cola/SSIamts.html. Gift card/Gift certificates received by the applicant/recipient is income in the month received if it is used to purchase shelter; or can be resold. Any unspent balance remaining on a gift card/certificate is a resource beginning the month following the month the gift card/certificate was received18.

3460.00.00 BENEFIT CALCULATION (MED 2) If a refugee is ineligible for Medicaid under any other category, he could be eligible for Refugee Medical Assistance (RMA). Eligibility for MA Q is based on the MED 2 income standard (see IPPM 3010.25.00). The following rules apply to MA Q: