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INCOME ADC-RELATED BUDGETING METHODOLOGY
DETERMINATION OF ELIGIBILITY
Policy: ADC-related budgeting is used to determine eligibility for persons who meet the following categorical requirements and who are ineligible under LIF budgeting:
• Families with dependent children under age 21; • Persons under age 21; • Pregnant women; and • FNP parents.
Eligibility is determined by comparing the net available income of the A/R to the Medically Needy Income level, or the Medicaid Standard (and MBL Living Arrangement Chart, as appropriate) whichever is most beneficial. (See REFERENCE MEDICALLY NEEDY INCOME AND FEDERAL POVERTY LEVELS), whichever is higher. For pregnant women and children under specified ages, income may be compared to the federal poverty level. (See REFERENCE MEDICALLY NEEDY INCOME AND FEDERAL POVERTY LEVELS)
References: SSL Sect.
366
Dept. Reg.
360-4.2 360-4.6(a)(3)
ADMS
OMM/ADM 97-2 91 ADM-8 90 ADM-9
INFs
98 OMM/INF-02
GISs
08 MA/022
91MA041 90MA063
Interpretation: ADC-related eligibility is determined as follows:
(1) Determine the A/R's household size by counting those persons who are applying and their legally responsible relatives (See OTHER ELIGIBILITY REQUIREMENTS HOUSEHOLD COMPOSITION ADC-RELATED HOUSE- HOLD).
(MRG)