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UPDATED: NOVEMBER 2009 576

OTHER ELIGIBILITY REQUIREMENTS HOUSEHOLD COMPOSITION

SSI-RELATED

Description: For adults (age 18 or over) who are aged, certified blind or certified disabled, a Medicaid household is the aged, blind or disabled person and his/her spouse who lives with him/her if the spouse is: (1) also aged, certified blind or certified disabled; or (2) has remaining income after allocations which is equal to or greater than the difference between the medically needy income level for one, and the medically needy income level for two.

For other aged, certified blind or certified disabled adults who live with their spouses, a Medicaid household consists of one person for income purposes, but consists of two persons for resource purposes.

For all other aged, certified disabled or certified blind A/Rs, a Medicaid household consists of one person.

Policy: Medicaid may be given to an otherwise eligible individual, household or a portion of the applying household.

References: SSL Sect.

365 366

Dept. Reg.

360-4.2

ADMs

OMM/ADM 97-2 91 ADM-27 82 ADM-6

Interpretation: A person who is SSI-related (at least age 65, certified disabled or certified blind) is only a household of two when residing with a spouse who:

• is also SSI-related; or

• has remaining income after allocations (See INCOME SSI- RELATED BUDGETING METHODOLOGY ALLOCATION) which is equal to or greater than the difference between the medically needy income level for one, and the medically needy income level for two.

(MRG)