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This beneficiary currently has no assets. The amount of their RSDI benefit is $1,200. They also receive a private pension of $500 per month and received SSI until the beneficiary’s father died in 1995. Their SSI then stopped because of receipt of RSDI benefits.

$1,200 (beneficiary’s RSDI) + $500 (private pension) $1700 (total gross income) -$1200 (disregard total RSDI) $500 - $20 (disregard) $480 (countable income is under the current SSI limit)

SDX in OVS shows status as “D.” The beneficiary is eligible for CN MAD under the DAC Pass-along

F. Recertifications At subsequent recertifications, determine if the individual still qualifies as Pass-along. Evaluate the income of the beneficiary. If the individual would be ineligible for SSI or SA under current income standards even after deducting the entire current RSDI benefit, the individual is no longer eligible as DAC Pass-along. Evaluate under other Pass-along groups and all Medicaid programs.

IV. EARLY WIDOW(ER)’S PASS-ALONG (INCLUDING SOME SURVIVING, DIVORCED SPOUSES) NOT RECEIVING MEDICARE

A. Eligibility Requirements 1. Lost SSI or SA benefits due to receipt of RSDI benefits;

2. Not yet eligible for Medicare Part A;

3. At least age 50, but not yet attained age 65; and

4. Would currently be eligible for SSI or SA benefits if they were not receiving RSDI benefits.

5. If Pass-along eligibility is based on prior receipt of SA (not SSI), the individual must currently reside in an adult care home.

B. Identify Individuals Potentially Eligible as Early Widow(er)’s Pass-along (Not Receiving Medicare) Applicants/beneficiaries need not claim Pass-along status. Many individuals may not be able to remember when or if they received SSI or SA. Fully investigate Pass-along eligibility in every case where the individual is otherwise over income for CN MAD because of income from Social Security.