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West Virginia Income Maintenance Manual Chapter 4

West Virginia Income Maintenance Manual Page 178 Chapter 4 Income

Example 3: Mrs. Rose lives with her husband, Sam Rose. He is 75 years old and receives $880 RSDI. He did not previously receive SSI. Mrs. Rose is 70 years old and receives $700 RSDI. The couple’s total combined monthly income is $1,580, which exceeds the current SSI amount of $1,191 for a couple. Mrs. Rose received both RSDI and SSI until she married Sam in 2006. Her SSI was terminated after the marriage due to excessive income for a couple. To determine PAC eligibility, the combined RSDI income of $1,580 is multiplied by .760, the amount for 2006 found in Appendix E for Method 1. The result is $1,200, which is their countable RSDI income. After applying the $20 disregard, the total countable income is $1,180, which is less than the current SSI amount for a couple of $1,191. Mrs. Rose qualifies for PAC coverage. Her husband is not PAC eligible because he did not receive SSI. 4.11.7.A.2 Method 2 To determine an individual's financial eligibility under Method 2, the Worker must determine the cumulative RSDI Cost of Living Adjustments (COLA) of the applicant and/or his financially responsible parent or spouse, which were received because SSI eligibility was lost. Step 1: Divide the current RSDI benefit amount by the percentage amount of the previous year's COLA. This percentage is found in Appendix E. This procedure determines the individual's RSDI benefit level prior to the most recent COLA. Step 2: Repeat the process in Step 1 for each COLA received because the individual lost SSI eligibility. This produces the RSDI amount the client and/or his financially responsible parent or spouse received when he lost SSI eligibility. COLA Example: For the 2018 RSDI amount, use the 2017 COLA information from Appendix E, Method 2 Chart. $856 ÷ 1.020 = $840, the RSDI amount before 1/18 COLA. Resulting RSDI amount before 1/18 COLA, $840 ÷ 1.003 = $838, the RSDI amount before 1/17 COLA. Resulting RSDI amount before 1/17 COLA, $838 ÷ 1.000 = $838, the RSDI amount before 1/16 COLA. Step 3: Add the client's current countable income using the budgeting methods in Section 4.6.1 NOTE: If the client is ineligible by $20 or less, Method 2 must be used as the final eligibility determination.