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MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID c. Determine total gross earned income. d. Subtract any balance of the general exclusion not offset by unearned income. e. Subtract the work expense exclusion of $65. f. Impairment–Related Work Expenses (IRWE). This exclusion is applied to earned income of disabled (but not blind) individuals under age 65. The expense must be reasonable; for items/services which are directly related to enabling an impaired individual to work, and which are necessarily incurred by the individual because of a physical or mental impairment. IRWEs are excludable when the cost is paid by the disabled individual and is not reimbursable from another source. g. Subtract 1/2 of the remaining earned income after the above deductions. h. Determine the total countable income by adding Items B–1–b and B–2–e. i. Compare the total countable income (Item B–3) to the appropriate SSI payment amount (SPA). If the amount is equal to or greater than the SPA in the member of a couple with ineligible spouse or individual columns, the client is ineligible for Medicaid. If ineligible in the member of a couple with eligible spouse column, proceed to the member of a couple with ineligible spouse column to complete the eligibility determination. F-320 BUDGETING PROCEDURES FOR SSI FINANCIAL ELIGIBILITY OF CHILDREN – PARENT TO CHILD DEEMING BUDGET – FORM 2646–EE/A F-320.1 General Deeming Provisions

If the child is under age 18 or under age 21 and regularly attending school, college, university or technical training designed to prepare him/her for gainful employment and living in the same household with the natural/adoptive parent(s) or natural/adoptive parent and a stepparent; all income of the ineligible parent(s) will be considered in determining eligibility for the child. a. Deeming applies from a parent to a child when they live together in the same household. b. Deeming stops the month following the month of institutionalization in a medical facility. c. Deeming begins the month following the month the child returns home from a medical facility. Division of Welfare and Supportive Services F-315.3.2 Medical Assistance Manual LONG TERM CARE SERVICES 24 Sept MTL 05/24 SSI ELIGIBILITY DETERMINATION – GENERAL DEEMING PROVISIONS