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7 (2) If the couple's income on Line 11 is greater than the N level for a couple, the case must be evaluated for M coverage. Coverage under N classification can never have deductibles.

b. Medically Needy: Enter the M couple amount on Line 12 subtract this amount from Line 11. Use the amount of excess income on Line 13 to compute the deductible for the certification period.

c. M-QB (Q, B or E)/M-WD: If the couple M-QB (Q, B or E)/M-WD amount was entered on Line 12 and there is no excess income on Line 13, the couple is eligible for M-QB/M-WD provided they have Medicare.

NOTE: If only one spouse has Medicare you still use the M-QB/M-WD amount at this step.

D. "Medicaid Individual With Ineligible Spouse" (Spouse to Spouse Deeming)

1. Complete Section A of the DHB-5008aAdult Budget Sheet. Follow for budgeting for individual (See IV.B., above). This section of the calculation is based on the individual's income only.

a. Categorically Needy for M-AABD

(1) If the a/b's income on line 11 is equal to or less than the N income level, go to Section B (IV.D.2., below).

(2) If the a/b's income on Line 11 is greater than the N income level for an individual, the individual is ineligible for N coverage. Evaluate for M coverage. This individual cannot be N even if their ineligible spouse's income combined with they are under the N income level in Section C.

b. Medically Needy for M-AABD

Go to Section B (IV.D.2., below).

c. M-QB (Q, B, or E) or M-WD:

(1) If the a/b has Medicare and the income on Line 11 of Section A is greater than the M-QB income limit, stop. The a/b is ineligible for M- QB using SSI budgeting methodology.

(2) If the a/b has Medicare and the income on line 11 of Section A is less than or equal to the M-QB (Q, B, or E) or M-WD income limit for an individual, go to Section B to determine spousal deeming.

2. Complete Section B of the DHB-5008aAdult Budget Sheet to compute ineligible spouse's income.

a. On Line 1 of Section B enter the ineligible spouse's gross unearned income. If it is VA pension, do NOT deem. See MA-2250, Income to the VA section based on need.

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Page 7

Official source

7 (2) If the couple's income on Line 11 is greater than the N level for a couple, the case must be evaluated for M coverage. Coverage under N classification can never have deductibles.

b. Medically Needy: Enter the M couple amount on Line 12 subtract this amount from Line 11. Use the amount of excess income on Line 13 to compute the deductible for the certification period.

c. M-QB (Q, B or E)/M-WD: If the couple M-QB (Q, B or E)/M-WD amount was entered on Line 12 and there is no excess income on Line 13, the couple is eligible for M-QB/M-WD provided they have Medicare.

NOTE: If only one spouse has Medicare you still use the M-QB/M-WD amount at this step.

D. "Medicaid Individual With Ineligible Spouse" (Spouse to Spouse Deeming)

1. Complete Section A of the DHB-5008aAdult Budget Sheet. Follow for budgeting for individual (See IV.B., above). This section of the calculation is based on the individual's income only.

a. Categorically Needy for M-AABD

(1) If the a/b's income on line 11 is equal to or less than the N income level, go to Section B (IV.D.2., below).

b. Medically Needy for M-AABD

Go to Section B (IV.D.2., below).

c. M-QB (Q, B, or E) or M-WD:

(1) If the a/b has Medicare and the income on Line 11 of Section A is greater than the M-QB income limit, stop. The a/b is ineligible for M- QB using SSI budgeting methodology.

(2) If the a/b has Medicare and the income on line 11 of Section A is less than or equal to the M-QB (Q, B, or E) or M-WD income limit for an individual, go to Section B to determine spousal deeming.

2. Complete Section B of the DHB-5008aAdult Budget Sheet to compute ineligible spouse's income.

a. On Line 1 of Section B enter the ineligible spouse's gross unearned income. If it is VA pension, do NOT deem. See MA-2250, Income to the VA section based on need.