16-001.10 Potential Income

As a condition of Medicaid eligibility, the Department shall require clients to take all necessary steps to obtain any annuities, pensions, retirement, and disability benefits to which they are entitled. Annuities, pensions, retirement, and disability benefits include, but are not limited to, veterans’ compensation and pensions, Social Security benefits, railroad retirement benefits, and unemployment compensation. A client and/or any responsible relative, such as a spouse or parent, is required to apply for any non-Medicaid benefits for which s/he appears to be entitled within 60 days of the date the client is notified of the requirement. A responsible relative shall be referred for any potential benefit, but there is no sanction applied to the child(ren)’s Medicaid case if the responsible relative fails or refuses to apply. Determination of eligibility shall not be delayed pending determination of entitlement for potential benefits, so long as the client/responsible relative has applied for such benefits within the 60-day timeframe.