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(a) When the LRR provides information, but refuses to make his/her income/resources available to the A/R, eligibility for the A/R is determinable. When completing a budget, only the income/resources, as appropriate, actually available to an A/R are counted.

(b) When the LRR refuses to provide financial information, eligibility is generally indeterminable. However, if the A/R provides complete information concerning his/her own income and resources, as appropriate, including any jointly held resources, eligibility is determined based on the available information.

A dollar amount is budgeted for any non-medical needs that the LRR is meeting. For example, the LRR may be providing the A/R with food, shelter, and clothing. The value of these items would be considered income. The non-contributing LRR is not included in the household size.

If Medicaid is provided because of the failure or refusal of an LRR to make income and resources available, an implied contract is created with the non-contributing LRR. Recovery for the cost of any care provided may be pursued through legal channels.

NOTE: The income/resources of parents are not considered in the eligibility determination for their pregnant daughters (of any age), regardless of where the pregnant daughter resides.

(MRG)