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MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID F-315.3 SSI Budget Form 2646-EE - Specific Instructions

F-315.3.1 Deeming Computation Deeming never applies when the SSI ineligible spouse receives Medicaid, TANF, VA pension or other federal or state assistance based on need. a. Determine the ineligible spouse's total unearned income. b. Determine if an SSI ineligible child(ren) allocation is applicable. The allocation is applicable if there are any dependent children who are: 1. Under age 18 OR under age 22 and are students regularly attending a school, college or university or a course of vocational or technical training to prepare for gainful employment; and 2. The child(ren) are not receiving Medicaid, TANF, VA pension or other federal or state assistance based on need. c. If the allocation deduction is applicable, for each ineligible child, subtract the child's income from the child allocation amount. Subtract the remainder from the ineligible spouse's unearned income. d. Determine the ineligible spouse's gross earned income. e. Subtract the balance of any allocation for ineligible children not offset by unearned income. f. Add the remaining unearned income to the remaining earned income, after the allocation deductions. g. Compare the total income after allocations to the deeming indicator amount. If less than the deeming indicator amount, deeming does not apply, proceed to Part B, individual column of the SSI budget using only the client's income. If equal to or more than the deeming indicator amount, deeming DOES APPLY. Proceed to Part B member of a couple with an ineligible spouse column adding the unearned income after allocations to the client's unearned income and the remaining earned income to the client's earned income. F-315.3.2 SSI Eligibility Determination

In this section of the budget, use only the client's income when using the individual column. Use combined incomes of the client and eligible or ineligible spouse when using the member of a couple with an eligible or ineligible spouse column. a. Determine unearned income. b. Subtract the general income exclusion of $20 to arrive at the remaining unearned income. F-315.3 Division of Welfare and Supportive Services LONG TERM CARE SERVICES Medical Assistance Manual SSI BUDGET FORM 2646-EE – SSI ELIGIBILITY DETERMINATION 24 Sept MTL 05/24