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When there are changes in income and/or amounts, re-evaluate eligibility excluding only the RSDI cost– of–living increases received after the customer was last eligible for and received SSI and entitled to RSDI in the same month. If the customer would now be eligible (based on SSI rules) for SSI before disregarding cost–of–living increases, they no longer meet the criteria for Medicaid eligibility under Public Law 94–566 (Pickle Amendment). Refer the customer to apply for SSI benefits. Transfer the net countable income to the SSI Budget. E-225.2 Adult Disabled Child – Public Law 99–643 Disregard the adult disabled child benefit or the increase in this benefit received after July 1, 1987. When there are changes in income and/or amounts, re-evaluate eligibility excluding the adult disabled child benefit or the increase in this benefit received after July 1, 1987. If the customer would now be eligible (based on SSI rules) for SSI before disregarding cost–of–living increases, they no longer meet the criteria for Medicaid eligibility under Public Law 99-643 (Adult Disabled Child). Refer the customer to apply for SSI benefits. Transfer the net countable income to the SSI Budget. E-225.3 Widow/Widowers – Public Law 100–203 Disregard the widow/widower's benefits in addition to other SSA benefits which are not disability benefits. When there are changes in income and/or amounts, re-evaluate eligibility excluding the widow/widower's benefits in addition to the other SSA benefits which are not disability benefits. If the customer would now be eligible (based on SSI rules) for SSI before disregarding cost–of–living increases, they no longer meet the criteria for Medicaid eligibility under Public Law 100-203 (Widow/Widowers). Refer the customer to apply for SSI benefits. Transfer the net countable income to the SSI Budget. E-225.4 Widows, Widowers and Surviving Divorced Spouses – Public Law 101–508 Disregard the Title II (RSDI) disability benefit which was based on application of new disability criteria. When there are changes in income and/or amounts, re-evaluate eligibility excluding the Title II disability benefit which was based on application of new disability criteria. If the customer would now be eligible (based on SSI rules) for SSI before disregarding cost–of–living increases, they no longer meet the criteria for Medicaid eligibility under Public Law 101-508 (Widow, Widows and Surviving Divorced Spouses). Refer the customer to apply for SSI benefits. Transfer the net countable income to the SSI Budget. Division of Welfare and Supportive Services E-225.1 Medical Assistance Manual MAABD INCOME AND BUDGETING MTL 09/24 NOV 24 Pickle Amendment – Public Law 94-566