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130 CMR: DIVISION OF MEDICAL ASSISTANCE
Trans. by E.L. 239 Rev. 07/01/21 MASSHEALTH FINANCIAL ELIGIBILITY Chapter 520 Page 520.014
(2) The MassHealth agency will redetermine eligibility without this deduction if (a) after 90 days from the date of the MassHealth agency eligibility approval notice, the person is not receiving personal-care attendant services paid for by the MassHealth agency or has not submitted, upon request from the MassHealth agency, proof of efforts to obtain personal-care attendant services paid for by the MassHealth agency; or (b) the MassHealth agency denies the prior-authorization request for personal-care attendant services. (3) If countable income, prior to applying the deduction at 130 CMR 520.013(B), is greater than 133 percent of the federal poverty level, eligibility is determined under 130 CMR 519.005(B): Financial Standards Not Met.
520.014: Long-term-care Earned-income Deductions
(A) The following expenses may be deducted from the earnings of a long-term-care-facility resident: (1) a standard deduction of $11; and (2) any of the following work-related expenses deducted from salary: (a) social security taxes (FICA); (b) federal and state income taxes; (c) retirement and employee benefit plans; (d) health or medical insurance premiums; and (e) union dues.
(B) Deductions that may be used to determine the amount owed to the long-term-care facility (patient-paid amount) are described at 130 CMR 520.026.
520.015: Noncountable Income
The following types of income are not considered in determining the financial eligibility of the applicant or member:
(A) the income of any individual who is a recipient of EAEDC or SSI;
(B) the portion of the income that is disregarded (1) for disabled adult children according to 130 CMR 519.004: Disabled Adult Children; and (2) under the Pickle Amendment according to 130 CMR 519.003: Pickle Amendment Cases;
(C) income-in-kind;
(D) money received from a loan secured by the equity in the home of an individual who is aged 60 or older (reverse mortgage);