2674.2 Income and Resource Methodologies

The income and resource methodologies of the Medically Needy program shall be applicable in determining eligibility with the exception of the 6-months base period rule and the allowable resource standards. Only the needs, income, and resources of the individual and his or her spouse or parent(s) shall be considered.

Countable income shall be determined using the independent living disregards as specified in 7240 . This would also apply to persons in LTC living arrangements. Only that person's income would be considered including the amount of any income the person is allocating to a community spouse or other family members in accordance with 8243 (4) or 8244.2 . This allocation would not be deducted in determining countable income for QWD purposes. However, if an individual applies for QWD status who is receiving such allocation, the amount of that allowance must be considered in determining that person's eligibility.

The general resource guidelines of 5200 shall be applicable in determining countable resources. A transfer of resources under the spousal impoverishment provisions of 8144 , 8244 and subsections would not be recognized in the QWD determination until the resource has been formally transferred.

A 1-month base period shall be applicable to QWD-only determinations in accordance with 7330 (1) . Total countable income to be considered in the eligibility base period shall be compared against the appropriate monthly 200% poverty level as referenced in the Kansas Medical Assistance Standards . Eligibility exists if the countable income does not exceed this level and resources are within allowable levels.

Eligibility for QWD coverage shall be determined separately for the qualifying individual except in instances in which there is more than one qualifying person in the family group. In such instance, a single determination for all qualifying persons would be applicable.

If the person's countable income exceeds the poverty level standard, there is no eligibility for QWD coverage. Persons who are not eligible for QWD may, however, be able to qualify for regular medical benefits based on a cash or spenddown determination.