Income Considerations for the Medicare Premium Assistance Program 510-05-60-30

(Revised 12/1/19 ML #3569)

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(N.D.A.C. Section 75-02-02.1-22(7))

Income calculations must consider income in the manner provided for in the medically needy income considerations; unearned income ; earned income ; disregarded income ; and income deductions ; with the following exceptions for the Medicare Savings Program:

Married individuals living separate and apart from a spouse (for the full calendar month ) are treated as single individuals;

The income disregards in 05-85-30 are allowed regardless of the individuals living arrangement;

The earned income of any blind or disabled student under age 22 is disregarded;

The $20 income deduction (described in 05-85-35 (9) and the $65 plus one-half income deduction (described in 05-85-35(11)(e)) are allowed regardless of the individual’s living arrangement; and

The following income deductions are not allowed:

The cost of premiums for health insurance;

Medical expenses for necessary medical or remedial care incurred by a member of a Medicaid unit ;

The cost of premiums for long term care insurance;

Transportation expenses necessary to secure medical care;

The cost of remedial care for an individual residing in a specialized facility ; or

The mandatory payroll deductions withheld from earned income for aged, blind, or disabled applicants or recipients.