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1. Ineligible parent to eligible child income and resource deeming are waived (Waiver Medicaid eligibility is based solely on the waiver recipient’s income and resources); 2. Spousal impoverishment rules apply if only one member of a married couple meets level of care unless the second spouse resides in a medical institution that could be Medicaid covered, such as a nursing facility or MSH; 3. When only one spouse requests waiver program services and meets level of care, the other spouse, unless residing in a nursing home, is referred to as the ‘non- waiver spouse’ or ‘community spouse’ and the eligible individual is the ‘waiver spouse’. NOTE: Spousal impoverishment rules apply to the waiver spouse. The couple cannot be treated as individuals or as a non-waiver couple, even if more beneficial to them. Additionally, the waiver spouse’s income, resources, and presence are not considered when determining the non-waiver spouse’s Medicaid eligibility. 4. When both spouses are requesting HCBS/Waiver program services and meet level of care, or the non-waiver spouse resides in a nursing home or other covered medical institution (ABD 800 Residential Medical Institutions Overview), each spouse is treated as an individual and spousal impoverishment rules (such as resource assessments and spousal income maintenance) do not apply. RESOURCE ASSESSMENTS: Resource assessments are required for married HCBS/Waiver clients requesting HCBS/Waiver program services and meet level of care. Only one resource assessment is required unless there are errors discovered. See CMA 803-1 Institution and Waiver Resource Assessments for resource assessment instructions. ASSET TRANSFERS: Asset transfer/look back provisions apply to assets either the client or their spouse transferred prior to HCBS/Waiver eligibility determination. An asset transfer evaluation is completed for SSI related recipients. See CMA 404-1 Asset Transfers. RESOURCES OWNED JOINTLY BY TWO WAIVER SPOUSES: Evaluate resources held jointly by two waiver spouses, or by a waiver spouse and a spouse in a residential medical facility, according to jointly owned resource policy in CMA 401-1 Ownership, Accessibility and Equity Value. PREADMISSION SCREENING: Addictive and Mental Disorders Division (AMDD) conducts independent screenings for: