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24.12.2 Income Changes Income changes do not affect the group's eligibility for the remainder of the deductible period once the deductible has been met. However, workers must determine if eligibility for the deductible should have begun on an earlier date due to a reduced deductible amount and manually certify eligibility for the appropriate dates. A met deductible period may not be shortened due to any changes which would have increased the amount of the deductible. 24.12.3 Asset Changes If the Medicaid group acquires new assets during the remainder of the deductible period, wait until the last day of the month in which it acquired the assets. If the group has excess assets on the last day of the month, discontinue Medicaid eligibility. If the group’s assets fall below the limit before the end of the met deductible period, reopen the deductible for the remainder of the original deductible period. Example 1 Jim has a deductible period from July through December. He meets his deductible on July 18. In August, Jim reports that he inherited $5,000 and he still has it as of August 31. His case closes for October for excess assets. On November 5, Jim reports that he spent the money and his assets are now below $2,000. Since he is still in his deductible period and no longer ineligible because of his assets, his deductible should be reopened for November 1 through December 31. 24.12.4 Non-Financial Changes If there is a change in non-financial eligibility after the deductible is met, discontinue Medicaid eligibility for those persons who have become non-financially ineligible. If a member loses non-financial eligibility and regains it during the same deductible period, the member may choose: • To continue with the current deductible period. OR • To reapply and establish a new deductible period if their income still exceeds the income limit. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 24.13 Death During a Deductible Period 24.13.1 Death During a Deductible Period Introduction If the member dies during the deductible period, and is not already certified, look at all countable costs (see SECTION 24.7.1 COUNTABLE COSTS) prior to death. If those countable costs meet the deductible, certify the deceased person. The time period for the deductible remains six months (no prorating). All months that remain of the six-month deductible period from the point the member dies, are considered to have $0 income for a group size of 1. For a group size of 2, if the spouse passes away, the deductible amount should be recalculated for all months after the date of death with a group size of 1 and only with the surviving spouse’s income. In both cases, the deductible amount must be recalculated.