Page 96

UPDATED: NOVEMBER 2009 194

INCOME LIF BUDGETING METHODOLOGY

DETERMINATION OF ELIGIBILITY

Policy: LIF budgeting is used to determine eligibility for persons who meet the following categorical requirements:

• Families with a dependent child under age 21; • Persons under age 21; • Pregnant women, or • FNP parents.

Eligibility is determined by comparing the net available income of the A/R to the Medicaid Standard (and MBL Living Arrangement chart, as appropriate). (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

INFs

98 OMM/INF-02

GIS

08 MA/022

Interpretation: Eligibility using LIF budgeting is determined as follows:

(1) Determine the gross monthly income of the person or household. (See OTHER ELIGIBILITY REQUIREMENTS HOUSEHOLD COMPOSITION for an explanation of household composition) Certain kinds of income are disregarded in whole or in part. (See INCOME LOW INCOME FAMILY DISREGARDS)

(2) Compare the gross monthly income to 185% of the Medicaid Standard. (See INCOME LOW INCOME FAMILIES (LIF) BUDGETING METHODOLOGY 185% MAXIMUM INCOME TEST) If gross income exceeds 185% of the Medicaid Standard, the A/R is not eligible for Medicaid using LIF budgeting. If the gross monthly income is equal to or less than 185% of the Medicaid Standard, then

(MRG)