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UPDATED: JULY 2008

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INCOME

SINGLES/CHILDLESS COUPLES (S/CC) BUDGETING METHODOLOGY

Policy: Single individuals or childless couples who are: (1) at least age 21, but not yet 65; (2) not certified blind or certified disabled; (3) not pregnant; and (4) not caretaker relatives of children under age 21 are determined eligible for Medicaid using the S/CC budgeting methodology.

References: SSL Sect.

366.1(a)

Dept. Reg.

352 360-4.6 370

ADMs

OMM/ADM 97-2 97 ADM-21

GIS

08 MA/022

Interpretation: Eligibility using S/CC budgeting is determined as follows:

(1) determine the monthly income of the person or household as described in OTHER ELIGIBILITY REQUIREMENTS HOUSEHOLD COMPOSITION. Certain kinds of income are disregarded in whole or in part (See INCOME S/CC DISREGARDS);

(2) compare the monthly income to 185% of the Public Assistance Standard of Need (See INCOME S/CC BUDGETING METHODOLOGY 185% MAXIMUM INCOME LIMIT). If the income exceeds 185% of the Medicaid Standard, the A/R is not eligible for Medicaid. If the monthly income is equal to or less than 185% of the Medicaid Standard; then

(3) compare the monthly income to 100% of the federal poverty level. If the income exceeds 100% of the federal poverty level the A/R is not eligible for Medicaid. If the monthly income is equal to or less than 100% of the federal poverty level, then

(4) deduct the $90 work expense disregard;

(5) deduct mandatory items from unearned income;

(6) deduct that part of income from self-employment or a small business as described in INCOME EARNED SELF- EMPLOYMENT OR SMALL BUSINESS INCOME of this guide. Depreciation, personal business and entertainment

(MRG)