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COMAR 10.09.24.03

346 State of Maryland Medical Assistance Manual Revised July 2012 Since Mrs. C‟s remaining income ( $92.50) is not more than the differences between the applicable SSI payment standard for a couple and that for an individual ($185.00), there is no income to deem from Mrs. C to Mr. C.

Step 3-Calculation of Mr. C‟s Income for Buy-In Eligibility Decision

a. OASDI- Mr. C‟s unearned income $405.00 Apply the $20 ABD general disregard -20.00 Net countable income $385.00

b. Compare Mr. C‟s net countable income to the QMB income standard for 1 person ($425).

$385.00 -425.00 $ -0-

c. Mr. C‟s net income of $385.00 is within the QMB income standard of $425.00. His resources are within the QMB resource standard of $4, 000. d. Decision: Mr. C is eligible for the Buy-in coverage.

Overall Decision: a. Eligible-Notice Requirement: Use DES 202.

b. Ineligible solely due to excess income-Notice Requirements Use DHMH 4213B and DHMH 4200A

c. MA ineligible due to excess resources or non-financial factors-Notice Requirement: Use DES 300.

Income Calculation for Spouses When Both Are Medicare Beneficiaries with No Children

When both spouses are Medicare beneficiaries and they are not the parents of any dependent children living with them, their eligibility for the Buy-in is determined together as a single unit. Follow the standard MA ABD income calculation using the regular MA disregards of COMAR 10.09.24.07L.

If the net countable income and countable resources are equal to or less than QMB income and resource standards for 2 persons, each spouse is eligible for the Buy-in.