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QMB clients must be evaluated to determine if they qualify for medically needy coverage. QMB clients who need vision or dental coverage, waiver services or other non-Medicare covered services can receive assistance in meeting these needs when they qualify for medically needy Medicaid coverage. ASSISTANCE/ FILING UNIT: The income and resources of some filing unit members must be considered when determining Medicaid eligibility. See ABD 601-2, "Financial Responsibility of Relatives." An ABD assistance unit is never more than two people. If both parents, as well as a child, are disabled, two assistance units are created; parental income is deemed to the child. If both parents live with the child, both of their incomes are deemed. Under no circumstance can a child’s income be considered when determining their disabled parent’s eligibility. SAME SEX MARRIAGE: Same-sex couples who marry in a jurisdiction that recognizes same-sex marriage are considered spouses. Same-sex marriages are permissible under Montana law, and Montana recognizes same-sex marriages performed in other jurisdictions. NOTE: Civil unions and domestic partnerships do not impact marital status and therefore these couples are not considered spouses when determining Medicaid eligibility. Effective Date: July 01, 2016