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E-230 MEDICARE BENEFICIARIES (QMBs, SLMBs and QDWIs) Couple Computation- If the customer is married, and living with his/her eligible spouse, evaluate their combined income using the third column on the “Medicare Beneficiaries Budget” Form 2203-EM. Deeming Income - If the customer is married and living with his/her ineligible spouse, use the first column on the “Medicare Beneficiaries Budget” Form 2203-EM to determine if deeming applies. Exceptions:  Do not deem income from a spouse receiving Medicaid under a waiver. A spouse who is under a waiver is considered to be institutionalized.  The division of income policy is not applicable to the Medicare beneficiary groups. E-235 MEDICARE BENEFICIARIES BUDGET METHOD E-235.1 Medicare Beneficiary Budget Form 2203 Use this budget to determine eligibility for the following groups;  Qualified Medicare Beneficiary (QMB)  Special Low Income Medicare Beneficiary (SLMB)  Qualified Low Income Medicare Beneficiary (QI)  Qualified disabled working Individual (QDWI) E-235.1.1 Determine Whether The Customer Is Considered An Individual Or A Member Of A Couple With A QMB/SLMB/QI/QDWI Eligible Spouse By Applying The Definitions In This Section. NOTE: This section does not apply to Institutional >30 days or Home and Community-Based Waiver (HCBW) categories. When the applicant is applying for Medicaid under Institutional or HCBW, they are considered married, even if separated but not divorced. a. Eligible Spouse The customer’s spouse who meets the requirements below: 1. Has applied for, is receiving, or would be eligible to receive SSI/QMB/SLMB/QI/QDWI: To determine if the spouse would have been eligible for one of these categories, the spouse: a) must be aged, blind or disabled; and b) must be determined financially eligible. 2. Is living in the same household as the customer. b. Ineligible Spouse The customer’s spouse who meets the requirements below: 1. Is not receiving or has not applied for SSI/QMB/SLMB/QI/QDWI; or Division of Welfare and Supportive Services MAABD INCOME AND BUDGETING Medical Assistance Manual MEDICARE BENEFICIARIES (QMBs, SLMBs and QDWIs) MTL 09/24 NOV 24 E-230