Medicaid and State Supplementation R. 9/1/09

Volume IVA OMTL-339

Medicaid and State Supplementation R. 9/1/09

MS 1820 BLIND OR DISABLED CHILD LIVING APART FROM FAMILY

Determine financial eligibility for a blind or disabled child, living apart from family due to institutionalization or hospitalization in an acute care hospital as follows:

A. For the month of separation and retroactive MA eligibility consider resources and income of the parent.

1. Allow appropriate income deductions from the income of the parent according to MS 2480.

2. Deduct from income of the parent:

a. Income as needed to raise the siblings’ income to the maximum ineligible sibling allocation. Allow a separate deduction for each ineligible sibling under age 18 living in the home. If application is made for more than one blind or disabled child in the same family, hospitalized or institutionalized, allow allocation of parental income to the ineligible siblings living in the home in each case;

b. The maximum parent allocation for unearned income only, or a combination of unearned income and earned income;

c. Up to the maximum parent allocation for earned income only;

d. If there are two parents in the home, use the parent allocation for two, even if only one of the parents has the earned or unearned income; and

e. See MS 1750 for parental and sibling allocation maximums.

B. Consider total resources and income of the child.

1. Allow appropriate income deductions from the income of the child according to MS 2480;

2. Combine the deemed income of the parent and the countable income of the child;

3. Allow verified incurred medical expenses of the parent, sibling, and the child; and

4. Use the MA Scale for one in the eligibility determination.

C. After the month of separation consider only the child's resources and income, including any continuing contribution, and compare to the MA Scale for one.