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North Carolina Department of Health and Human Services AGED, BLIND, AND DISABLED MEDICAID MANUAL MA-2262

SPONSOR DEEMING

8 REISSUED 07/01/10 – CHANGE NO. 11-10 (IX.A.1.) If Brenda applies for Medicaid for John only, Brenda’s brother’s income and resources would not be considered in determining John’s eligibility for Medicaid or NCHC. You would count Brenda’s and Tom’s income and Resources, if appropriate, excluding any income/resource deemed to her by her sponsor for John.

2. Deem the income of both the alien sponsor and the sponsor’s spouse to the sponsored alien. Deem the sponsor’s spouse’s income to the alien as long as the spouse lives with the sponsor.

3. The income of other members of a sponsor’s household should never be deemed to the sponsored alien.

4. A sponsor without adequate resources and/or income may rely upon a ‘joint sponsor’ who may or may not be a member of the sponsor’s household and may or may not be related to the sponsored alien. However, the joint sponsor must sign an I-864 Affidavit of Support. In such cases, the income of both the primary sponsor and the joint sponsor(s), as well as their respective spouses, must be deemed to the sponsored alien.

B. Countable Income for the Sponsor

1. Apply the current Medicaid policy for determining what is countable income for the sponsor and/or spouse. Apply the same definitions, base periods, exclusions, and disregards to the sponsor’s income that are applied to a/r’s. See MA-2250, Income. Do not budget for ineligible spouse – just determine the net countable income of the sponsor and his spouse.

2. Count the deemed amount as unearned income to the a/r.

X. RESOURCES

A. Available Resources

1. The sponsor’s resources can be deemed only to the alien he sponsors. The sponsor’s resources cannot be deemed to anyone who is not named on the I- 864 Affidavit.

Example: Tom, an immigrant, and his son, John, age 8, came to the U.S. as lawful permanent residents in December 1995. Tom’s wife, Brenda, is not able to come to the U.S. until January 1998. She is sponsored by her brother, a naturalized U.S. citizen, who signs the I-864 Affidavit. Brenda, Tom, and John all live together.