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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |70 Effective Month: September 2018 102.08.02 MARITAL RELATIONSHIPS Aged, Blind and Disabled Programs Definition of a Marital Relationship A marital relationship is one in which members of the couple are: • Married under State law. • Married under common law, provided the couple began holding out prior to April 1, 1956. • Married for Title II purposes, meaning one member of the couple is entitled to spouse’s benefits on the record of the other. • Living in the same household in a ‘holding out” relationship as a married couple. o A couple who lives in the same household are married for SSI/Medicaid purposes if they hold themselves out to the community in which they live as a married couple. o It is possible for a couple to live together and not be “holding out,” depending on economic and social circumstances. The only way to make a determination of marital status is for the Specialist to examine how the couple holds themselves out to the community. If the couple is determined to be living separately and apart, each is treated as an individual. However, when evidence does not support that a couple is living separately and apart, couple rules and deeming applies. o When a couple lives together, but denies “holding out”, the Specialist must obtain as many items of evidence as possible to make a determination as to the couple’s relationship and living arrangement. Such evidence may include mortgages, leases rent receipts, property deeds, bank accounts, tax returns, credit cards, information from other government programs (SSA, public housing, food stamps, etc.), and statements from friends, relatives and neighbors.