RETIREMENT BENEFITS... 34a. RETIREMENT, SURVIVORS, DISABILITY INSURANCE (RSDI)... 34a. RICKY RAY FUNDS... 34a

Transcription

1 TTT. UUU. VVV. RETIREMENT BENEFITS... 34a RETIREMENT, SURVIVORS, DISABILITY INSURANCE (RSDI)... 34a RICKY RAY FUNDS... 34a WWW. ROOMER/BOARDER PROVIDER INCOME XXX. ROYALTIES YYY. RURAL HOUSING SERVICE (RHS) ZZZ. SALE OF PROPERTY AAAA. SCORE BBBB. SICK BENEFITS FROM EMPLOYER CCCC. SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM) BENEFITS DDDD. SOCIAL SECURITY PAYMENTS EEEE. SPOUSAL SUPPORT OR ALIMONY FFFF. STRIKE BENEFITS GGGG. SUPPLEMENTAL SECURITY INCOME (SSI) HHHH. TANF PAYMENTS IIII. THIRD-PARTY PAYMENTS JJJJ. TITLE XIX MEDICAID WAIVER PAYMENTS KKKK. TRUST ACCOUNT DISBURSEMENTS LLLL. U.S. ACTION AGENCY MMMM. U.S. SAVINGS BONDS NNNN. UNEMPLOYMENT COMPENSATION (UCI) / v

2 2. Standard Deduction Dependent Care Deduction Child Support Deduction Homeless Shelter Standard Deduction Medical Expenses a. Allowable Expenses b. Consideration of Medical Bills c. Medical Deduction for Residents of Group Living Facilities d. Categorically Eligible, Retroactive SSI Approvals Shelter/Utility Deduction a. Shelter Costs b. Standard Utility Allowance (SUA) c. Categorically Eligible, Retroactive SSI Approvals... 76a C. DETERMINING ELIGIBILITY AND BENEFIT LEVEL... 76a 1. Determining Eligibility... 76a 2. Determining Countable... 76b 3. Determining The Amount Of The Benefit D. SPECIAL SITUATIONS Categorical Eligibility Expedited Service Destitute AG s From Self-Employment a. Determining Gross b. Determining Gross Profit Migrant Farm Laborers With Seasonal Employment Annual Contract Employment Educational Deeming a. Deeming From Disqualified and Ineligible Individuals b. Failure To Comply With Public Assistance Requirements Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown / vii

3 16. Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone a 10.5 RESERVED FOR FUTURE USE b 10.6 GENERAL INCOME INFORMATION FOR MEDICAID COVERAGE GROUPS A. UNCOMPENSATED TRANSFERS OF INCOME B. BUDGETING METHOD C. CATEGORICAL ELIGIBILITY, EXPEDITED SERVICES, DESTITUTE AG S AND MIGRANT FARM WORKERS RESERVED FOR FUTURE USE PARENTS/CARETAKER RELATIVES; PREGNANT WOMEN; CHILDREN UNDER AGE 19 AND ADULT GROUP (Categorically Needy, Mandatory) a A. BUDGETING METHOD b B. DETERMINE THE MAGI HOUSEHOLD SIZE FOR EACH APPLICANT b C. DETERMINE THE MAGI HOUSEHOLD INCOME FOR EACH HOUSEHOLD f D. CALCULATING MAGI g E. INCOME DISREGARDS j F. DETERMINING ELIGIBILITY j G. SPECIAL SITUATIONS p 1. Self-Employment p 2. Annual Contract Employment t 3. Education u 4. Deeming w 5. Strikers w 6. Irregular w 6/ viii

4 7. Lump Sum Payments w 8. Withheld w 9. Funds Diverted to a PASS w 10. Unstated w 11. Spenddown w 12. Unavilable Received for a Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone Belonging To or For the Benefit of a Child TRANSITIONAL MEDICAID (TM) (Categorically Needy, Mandatory) FORMER WEST VIRGINIA (WV) FOSTER CHILDREN (Categorically Needy, Mandatory) a RESERVED FOR FUTURE USE RESERVED FOR FUTURE USE MEDICAID FOR CONTINUOUSLY ELIGIBLE NEWBORNS (Categorically and Medically Needy, Mandatory) MEDICAID FOR SSI RECIPIENTS (Categorically Needy, Mandatory) MEDICAID FOR DEEMED SSI RECIPIENTS (Categorically Needy, Mandatory) A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS C. DETERMINING ELIGIBILITY Method Method D. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational Deeming Strikers Irregular / ix

5 10.21 AFDC-RELATED MEDICAID (Medically Needy, Mandatory for Children and (Optional for Parents) A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned C. DETERMINING ELIGIBILITY D. SPECIAL SITUATIONS Self-Employment Annual Contract Employment d 3. Educational d 4. Deeming Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown a. Procedures b. Whose Medical Expenses May Be Used c. Allowable Spenddown Expenses Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone Belonging To or For the Benefit of a Child SSI-RELATED MEDICAID (Medically Needy, Optional) A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned C. DETERMINING ELIGIBILITY / xii

6 D. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational Deeming Strikers Irregular Lump Sum Payments Withheld a a. From Earned a b. From Unearned a 9. Funds Diverted To A PASS a 10. Unstated Spenddown a. Procedures b. Whose Medical Expenses May Be Used c. Allowable Spenddown Expenses Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone Belonging To or For the Benefit of a Child SSI-RELATED/NON-CASH ASSISTANCE MEDICAID (Categorically Needy, Optional A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned b C. DETERMINING ELIGIBILITY b D. SPECIAL SITUATIONS c 1. Self-Employment c 2. Annual Contract Employment c 3. Educational c a. Title IV Educational Assistance c b. Other Educational Assistance d 6/ xiii

7 4. Deeming e a. Public Assistance Maintenance e b. Other Excluded Sources e c. Deeming From Ineligible Spouse to SSI-Related Spouse g d. Deeming From Parent(s) to SSI-Related Child(ren) h e. Deeming From Ineligible Spouse and Eligible/Ineligible Parent to SSI-Related Spouse and SSI-Related Child i 5. Strikers k 6. Irregular k 7. Lump Sum Payments k 8. Withheld k a. From Earned k b. From Unearned k 9. Funds Diverted To A PASS k 10. Unstated l 11. Unavailable l 12. Received For A Non- Group Member l 13. Received From Military Personnel Deployed to a Designated Control Zone m 14. Belonging To or For the Benefit of a Child m WV WORKS A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS Earned a. Earned Disregard b. Dependent Care Deduction Unearned C. DETERMINING ELIGIBILITY AND BENEFIT LEVEL Child Support Pass-Through Child Support Incentive (CSI) Child Support Excess Payment (MR) b 4. Determining Eligibility - 100% Of Need Test c 5. Determining Countable / xiv