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UPDATED: JULY 2008

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INCOME S/CC BUDGETING METHODOLOGY

185% MAXIMUM INCOME LIMIT

Description: The maximum income limit allowed for an S/CC A/R is 185% of the Medicaid Standard (including additional allowances).

Policy: When using S/CC budgeting, an A/R's total income, after subtracting any disregards, must be less than or equal to 185% of the applicable Medicaid Standard.

References: Dept. Reg.

352.18

ADMs

OMM/ADM 97-2 97 ADM-21 85 ADM-33 83 ADM-38 82 ADM-49 81 ADM-55

GIS

08 MA/022

Interpretation: Individuals and childless couples who are S/CC cannot have gross income exceeding 185% of the Medicaid Standard. (See INCOME MEDICAID STANDARD) All income disregards (See INCOME S/CC DISREGARDS) except the $90 work expense are deducted before determining if the A/R meets the 185% maximum income test. The Public Assistance Source Book for Regulations contains a more detailed description of income excluded from the 185% income limit.

NOTE: S/CC persons in Congregate Care (all levels) are not required to pass the 185% income test.

This income test is performed by multiplying the Medicaid Standard, for the appropriate size household, by 185%. The income of the A/R as described above, is then compared to this figure. If the income exceeds this figure, the individual or childless couple is ineligible for Medicaid. If the gross income is less than or equal to 185% of the Medicaid Standard then the budgeting procedures described in INCOME SINGLE/CHILDLESS COUPLES (S/CC) BUDGETING METHODOLOGY are followed.

(MRG)