Volume IVA OMTL-339
Medicaid and State Supplementation R. 9/1/09
MS 3560 LTC BLIND OR DISABLED CHILD
Blind or disabled child (under age 18 or age 18 through 20 if in school whether applicant or recipient).
Determine MA and patient liability for a child admitted to LTC and living with parents as follows:
A. For the month of admission and for any retroactive eligibility, consider the income of the child and the parent.
B. Allow appropriate income deductions from the income of the parent according to MS 2480.
C. Allocate income up to the ineligible sibling allocation for each ineligible sibling under age 18 living in the home of the LTC child. This is the ineligible sibling allocation minus gross income of each ineligible sibling.
1. If more than one blind or disabled child applies for LTC, allocate parental income to the ineligible sibling living in the home when computing deemed income to the LTC child.
2. Deduct a parent allocation for unearned income only or a combination of unearned income and earned income for one parent or for two parents.
3. Deduct a parent allocation for earned income only for one parent or for two parents.
4. If there are two parents in the home, use the parent allocation for two, whether one or both of the parents have the earned or unearned income.
5. See MS 1750 for parental and sibling allocation maximums.
D. Consider total income of the LTC child.
E. Allow appropriate income deductions from the income of the LTC child according to MS 2480.
F. Combine the countable income of the parent and income of the LTC child.
G. Allow verified, incurred medical expenses of the parent, sibling and the child in LTC.
H. Allow the MA Scale for one in the eligibility determination.
I. After the month of separation consider only the child's income, in-cluding any continuing contribution, and compare to the MA Scale for 1.
J. Refer the parent to SSA if the child is potentially eligible for SSI. If Family Related MA eligibility exists, see policy in Volume IV, MS 1220.