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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD B-320.1 MAABD MEDICAL CATEGORIES Division of Welfare and Supportive Services Medical Assistance Manual 25 Mar MTL 02/25 PICKLE AMENDMENT b. After April 1977 they were eligible for and receiving SSI and entitled to RSDI in the same month, and c. They became ineligible for SSI for any reason, and d. They would now be eligible for SSI if their RSDI cost-of-living increases received after they were last eligible for and received SSI and entitled to RSDI in the same month are excluded from their countable income, and e. All other eligibility factors are met. Entitlement to RSDI benefits can be determined by: a. Being "eligible for and receiving" the RSDI benefit; or b. Being eligible for the RSDI benefit without receiving the benefit due to the "windfall off- set" requirements of Social Security. The purpose of the "windfall off–set" is to ensure the individual who is currently eligible for either SSI or RSDI and subsequently becomes retroactively eligible for the other benefit does not receive more benefits than they would have received if payments for both benefits (SSI & RSDI) had been paid when regularly due. Example: A customer is currently applying for Medicaid. If: a. The customer was eligible for and receiving SSI and entitled to RSDI in April 1982; and b. Excess resources caused him to become ineligible for SSI in May 1982; and c. The customer’s resources are now within the current resource limitations; and d. If all RSDI cost-of-living increases made after May 1982 are excluded from his countable income, the customer would be eligible for SSI. Then, the customer is categorically eligible for Medicaid under the Pickle Amendment. When a customer applies for Medicaid and does not receive SSI or reside in a medical facility, use the above criteria to determine if they may be eligible under the Pickle Amendment. Verification: When an RSDI cost-of-living increase occurs, a special SDX will be produced for ongoing SSI recipients who may become eligible under this Public Law. These cases are identified in the SDX Public Law column by Alpha Code "B." If a customer resides with their spouse and spousal deeming applies, deduct the RSDI cost–of–living increases from the spouse's RSDI income which were received after the customer last received SSI. The last RSDI amount the customer was entitled to can be obtained through the Social Security Administration.