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a/b losing eligibility for SA. Prior to residing in the ACH, the a/b received SSI and RSDI for at least one concurrent month. The caseworker must establish eligibility/ineligibility for Pass-along for both dates.
Lost SSI: 2015 • The caseworker multiplies the a/b’s current RSDI by the 2015 factor in the chart below, however the resulting amount exceeds the current SSI income standard, therefore the a/b is not eligible for Medicaid due to Pass-along for losing SSI. Lost SA: 2021
• The caseworker multiplies the a/b’s current RSDI by the 2021 factor in the chart below. If the resulting amount is below the current SA income standard, the a/b remains eligible for Medicaid because they continue to live in an ACH. Note: Contact the local Social Security Administration (SSA) Office when unable to verify benefits using BENDEX, SDX, SOLQ, case record or SSA Benefit Verification letter.
D. When the A/B is determined COLA Pass-along eligible: 1. Disregard any COLA increases received after SSI or SA was terminated for any reason from the current RSDI income for the a/b.
2. If there is a financially responsible person (spouse or parent) who receives RSDI benefits, also disregard all COLA increases received by that person since the a/b was terminated from SSI or SA.
3. The result is the countable RSDI income. 4. Refer to the current Pickle Amendment Chart below for assistance in deducting all RSDI COLA increases received by the a/b and/or financially responsible person since the last month in which the a/b was eligible for both RSDI and SSI or RSDI and SA concurrently.
E. Determine Countable Income Add the countable RSDI Income to other countable earned and unearned income then compare it to the current SSI or SA income limit. (Use the 1/3 reduced income limit if appropriate. Refer to MA-2261 1/3 Reduction)
1. If the countable income is below the current SSI or SA income limit, continue to evaluate as categorically needy.