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UPDATED: NOVEMBER 2009 271

INCOME S/CC BUDGETING METHODOLOGY

DETERMINATION OF ELIGIBILITY

Standard, the A/R is ineligible for Medicaid and the determination of eligibility goes no further. If the income is less than or equal to 185% of the Medicaid Standard, the eligibility determination continues. (4) Compare the monthly income to 100% of the federal poverty level. If the A/R’s income exceeds the poverty level, the A/R will not be eligible under S/CC (See 97 ADM-23). In situations requiring special allowances (housing, restaurant, etc.) which bring the Medicaid Standard above the federal poverty level there will be no 100% federal poverty level test.

(5) Deduct the applicable disregards from the monthly income in the following order: (a) $90 work expense disregard. (See INCOME S/CC BUDGETING METHODOLOGY $90 WORK EXPENSE DISREGARD);

(b) where applicable, the first $100 of spousal support payments is disregarded. (See INCOME S/CC DISREGARDS)

(6) Compare remaining income to the Medicaid Standard. If the income is less than the Medicaid Standard, the A/R is income eligible for Medicaid. If the income equals or exceeds the Medicaid Standard, the A/R is ineligible for Medicaid.

NOTE: If a family’s countable income exceeds the Medicaid Standard, the family may not spend down to the Medicaid Standard. However, eligibility may exist and should be evaluated under one of the Medically Needy or Expanded Eligibility (poverty level) programs or Family Health Plus.

(MRG)