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1.12 Financial Eligibility Determination 1.12.1 Scope and Purpose A. To determine a person’s eligibility using the SSI methodology, a comparison is made between the countable income and resources of the applicant’s FRU and the income limits applicable to the Medicaid eligibility IHCC group. Once these groups have been established, financial eligibility is determined in accordance with the provisions for the SSI treatment of income and resources set forth in Subchapter 00 Part 3 of this Chapter, and/or the special eligibility requirements in § 1.8 of this Part. This Section focuses on the financial eligibility determination process for the Community Medicaid pathways in which the State is responsible for initial and continuing eligibility. 1.12.2 The Medicaid Eligibility Group A. The Medicaid eligibility group for Community Medicaid when determined by the State is as follows: 1. Single Adults – A single adult requesting Community Medicaid, including Medicaid LTSS, is treated as an “individual” – that is – Medicaid eligibility group of one (1). 2. Groups for Adults with Spouses – When two (2) spouses are living together, both the person requesting Medicaid and the applicant’s spouse are considered members of the applicant’s Medicaid eligibility group – a “couple” or group of two (2) – unless one (1) of the exceptions specified below applies. This is true whether or not the spouse is also requesting Medicaid. a. Living together. A couple is considered living together in any of the following circumstances: (1) Until the first (1st) day of the month following the calendar month of death or marriage separation, that is, when one (1) spouse dies or the couple separates; (2) When the number of days one (1) spouse is expected to receive LTSS in an institution or home and community- based setting is fewer than thirty (30) days; and (3) When the resources of the couple are reassessed and allocated at the point in which the need for continuous LTSS is determined and an application for Medicaid coverage of LTSS is made as indicated in Part 50-00-6 of this Title. b. Exceptions. Adult applicants with spouses are treated as an “individual” for eligibility purposes in the following circumstances: