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COMAR 10.09.24.03

344 State of Maryland Medical Assistance Manual Revised July 2012 a. $553-$368=$185.00 b. Reduce child‟s allocation by the amount of his/her income: $185.00×2 $370.00 $100.00 -270.00 $135.00×2 $100.00 (Difference between children‟s allocation and income) c. Calculate Mr. K‟s remaining income after allocation. Mr. K‟s income $1086.25 Children‟s allocation - 100.00 Mr. K‟s remaining income $986.25

Since Mr. K‟s remaining income ($986.25) is more that the difference between the applicable SSI payment standard for a couple and that for an individual ($185.00), the remainder of income must be added to Mrs. K‟s income to determine her eligibility for Buy-In coverage.

Step 3-Calculation of Mrs. K‟s Income for Buy-In Eligibility Decision a. Combine Mr. & Mrs. K‟s unearned income and apply the $20.00 ABD general disregard.

Mr. K‟s unearned income $ 0.00 $325.00 Mrs. K (OASDI) +325.00 -20.00 $325.00 $305.00

b. Combine the remainder of Mr. and Mrs. K‟s E.I. and apply the ABD E.I. ($65.00+1/2 of remainder) disregard.

Mr. K‟s E.I $986.25 Mrs.K‟s E.I + 0.00 $986.25 -65.00 $921.25 ÷2=$460.63

c. Combine and compare Mr. and Mrs. K‟s U.I and E. I to the QMB income standard for 2 people ($575.00).

U.I $305.00 $765.63 E.I +460.63 - 575.00 $765.63 $190.63 d. Mrs. K‟s total income is $190.63 over the QMB income standard for 2 people. e. Decision: Mrs. K is not eligible for Buy-In coverage, due to excess income.