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The applicant is age 70 and receives $785/month in RSDI benefits. (Both figures include Medicare premiums). Their countable joint income of $1865 ($1885 minus $20 disregard) is over the MAA categorically needy income limit for couples.

The applicant received both RSDI and SSI concurrently until 1991 when the couple got married. This caused the applicant to be ineligible for SSI beginning in 1991 based on their combined income.

Disregard the couple’s COLA increases since the applicants SSI terminated.

$1100 (spouse RSDI - including Medicare premiums) + $785 (applicant RSDI - including Medicare premiums) $1885 x 0.409 (use the year 1991 percentage from chart in II. F. below) $771 (round up)

- $20 (disregard)

$751 (under the 2026 SSI couple income limit)

The applicant, but not the spouse, is eligible for Medicaid under the COLA Pass- along because the applicant received SSI. The spouse has never received SSI.

EXAMPLE: (COLA Pass-along couple; both prior SSI) A married couple (Beneficiary1 and Beneficiary2) live together in their home and have total assets of less than $3,000. Both beneficiaries’ SSI have terminated. Beneficiary1 is 39 years old, and SSI terminated on 12/2013. They began receiving $1,130/month in RSDI on 12/2013.

50-year-old Beneficiary2 currently receives $50/month in private pension and began receiving Social Security Disability payments of $946 as of 1/2006. Beneficiary2 SSI terminated on 12/2005.

Beneficiary 1 Beneficiary 2 $1,130 (RSDI) $946 (disability payment) x .715 (use the year 2013 percentage from chart in II. F. below) x .583 (use the 2005 percentage from chart in II. F. below) $808 (round up) $552 (round up) -$20 (disregard) + 50 (private pension) $788 - $20 (disregard) $582

B1 Total Countable Income

$788 B2 Total Countable Income +$582 Married Couple’s Total Countable Income $1,370