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COMAR 10.09.24.03

342 State of Maryland Medical Assistance Manual Revised July 2012

Step 1-Determination of Mrs. P‟s Countable Income Apply the $250.00 ABD general and earned income (EI) ($65.00 + ½ of remainder) disregards. Note: the $20.00 general disregard is first applied to unearned income. If there‟s no unearned income, then apply to the E.I.

Mrs. P‟s unearned income $ 0.00 $550.00 Mrs. P‟s earned income $550.00 -20.00 530.00 -65.00 $465. 00÷2=$232.50

Step 2- Determination of Income to be deemed from Ineligible Spouse (Mrs. P)

Income allocation for ineligible child (difference between SSI payment rate for a couple and an individual): a. $553.00-$368.00=$185.00 b. Reduce child‟s allocation amount of his/her own income.

Allocation for child $185.00 Child‟s income -100.00 (Difference between child‟s allocation and $85 Child‟s income)

b. Calculate Mrs. P‟s remaining income after allocation. Mrs. P‟s income $232.00 Child‟s allocation -85.00

Mrs. P‟s remaining income $147.50

Since Mrs. P‟s remaining income ($147.50) is not more than the difference between the applicable SSI payment standard for a couple and that for an individual ($185.00), there is no income to deem from Mrs. P to Mr. P.

Step 3-Calculation of Mr. P‟s Income for Buy-in Eligibility Decision

a. OASDI-Mr. P‟s unearned income $415.00 Apply the $20 ABD general disregard

-20.00 Net countable income $395.00 b. Compare Mr. P‟s net countable income to the QMB income standard for 1 person (425.). $395.00