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COMAR 10.09.24.03

345 State of Maryland Medical Assistance Manual Revised July 2012 Note: Because resources also exceed applicable amount in Schedule MA-2the case is not preserved for MA spend-down eligibility.

Example III:

Mr. C, a disabled Medicare beneficiary, applies for the Medicare Buy-in coverage. He lives with his wife and their two children, who are not Medicare beneficiaries. Since Mr. C has requested Buy-in coverage only, his is a one-person assistance unit. Mr. C and his two children receive OASDI ($405, and $100 monthly, per child, respectively). Mrs. C earns $430.00 monthly and receives $100.00 monthly unearned income. The family has countable resources of $2, 900; therefore, Mr. C is resource eligible. To determine his income eligibility, the income of his wife is taken into account. Take the following steps to determine if any of Mrs. C‟s income is deemed to be available to Mr. C.

Step 1-Determination of Mrs. C‟s Countable Income

Apply the $20.00 ABD general and E.I. ($65 -1/2 of remainder) disregards

$100.00 $430.00 -20.00 -65.00 $ 80.00 $365.00 ÷2=$182.50

Step 2-Determination of Income to be deemed from Ineligible Spouse (Mrs. C) Income allocation for each ineligible child-difference between SSI payment rate for a couple and an individual):

a. $553-$368=$185.00 b. Reduce each child‟s allocation by the amount of his/her own income: c. Calculate Mrs. C‟s remaining income after allocation. Note: Child allocation is first deducted from unearned income. If there‟s not enough unearned, the remainder is deducted from E.I.

Mrs. C‟s unearned income: $80.00 Children‟s allocation -170.00 Mrs. C‟s remaining income $90.00

Mrs. C‟s earned income $182.50 Allocation carryover -90.00 Mrs. C‟s remaining income $92.50