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Spouses separated temporarily, for economic (employment) or emergency reasons (hospitalization), vacations or visits are NOT considered "separated" (ceased living together) for purposes of income consideration. The separation must be expected to continue. A temporary absence is one where the individual leaves and returns to the household in the same month or the following month. Regular unearned income deposited directly into a financial institution is considered received in the month for which it is intended to be received. When a one-time lump sum payment is received and it will not affect ongoing benefits, adjust patient liability for the month of receipt, not to exceed the actual cost of care for the month. Financial eligibility is always determined prospectively (future month). When information becomes known which causes ineligibility prospectively, terminate benefits allowing adverse action time. E-210.1 Ownership/Availability of Income All income which a payor designates as the customer's will be considered in determining eligibility. When a benefit or income is received for more than one person or family member, only the customer's portion of the income is considered. E-210.2 Income Deeming Applicable in the following groups:  Medicare Beneficiary  Public Law  Institutional <30  Prior medical If the customer is a child, under age 18, and was living with his/her parent(s) at the time of institutionalization, deem the parent(s)' income using Form 2646-EE/A. 1. Deeming applies from a parent to a child when they live together in the same household. 2. Deeming stops the month following the month of institutionalization in a medical facility. 3. Deeming begins the month following the month the child returns home from a medical facility. Medicare Beneficiary - If the customer is married and living with his/her ineligible spouse, use the first column on Medicare Beneficiaries budget Form 2203 to determine if deeming applies. E-210.3 Dividing Income Applicable in the following groups:  Institutional >30)  Home and community-based waivers When an institutional applicant is ineligible due to excess income for home-based waiver and institutional eligibility. Division of Welfare and Supportive Services Medical Assistance Manual MAABD INCOME AND BUDGETING MTL 09/24 NOV 24 SSI-MAABD-INCOME BUDGETING E-210