5101:1-39-21 Medicaid: standards and allocations.

(A) Following is a chart of the monthly income levels or need standards applied in the medicaid program for aged, blind, or disabled assistance groups. For an eligible individual, countable income is compared to the appropriate individual need standard. For an eligible couple, countable income is compared to the appropriate couple need standard. For an eligible individual with an ineligible spouse, countable income is compared to the appropriate individual need standard. Effective January 1, 2002 the standards are:

Individual Need Standard

Own household $ 472.00

Household of another $ 315.00

Institutionalized individual (Special income $ 1635.00 level)

Couple Need Standard

Own household $ 817.00

Household of another $ 545.00

(B) The qualified medicare beneficiary QMB need standard is increased annually each April by the increase of the federal poverty level. The QMB need standard is one hundred per cent of the federal poverty level.

The annual social security administration cost-of-living adjustments (COLA) are to be disregarded as income for the first three months (January, February, and March) for QMB eligibility determinations. The COLA is treated as countable income when the QMB need standard is increased each April.

(C) The qualified working disabled individual (QWDI) need standard is increased annually each February by the increase of the federal poverty level. The QWDI need standard is two hundred per cent of the federal poverty level.

(D) The specified low-income medicare beneficiary (SLMB) need standard is increased annually each April by the increase of the federal poverty level. Effective January 1, 1995, the SLMB need standard is one hundred twenty per cent of the federal poverty level.

The annual social security administration COLA is disregarded as income for the first three months (January, February, and March) for SLMB eligibility determinations. The COLA is treated as countable income when the SLMB need standard is increased each April.

(E) The following is a chart of the monthly income allocations applied in the deeming process:

Ineligible spouse $ 163.00

Ineligible parent $ 325.00

Two ineligible parents $ 488.00

Each ineligible child $ 163.00

Work expense deduction for an ineligible spouse or parent $ 65.00

(F) The following are the most commonly used deductions from income in the medicaid program:

General income disregard $ 20.00

Earned income disregard $ 65.00 and 1/2 remainder

Eff 9-3-77; 12-31-77; 3-1-79; 10-1-79; 12-7-79; 1-3-80; 7-1-80; 8-1-81; 7-1-82; 12-1-82; 7-1-83 (Temp); 9-24-83; 1-1-85 (Emer.); 4-1-85; 5-1-85 (Emer.); 7-31-85; 1-1-86 (Emer.); 4-1-86; 1-1-87 (Emer.); 3-20-87; 1-1-88 (Emer.); 2-1-88 (Emer.); 3-21-88; 1-1-89 (Emer.); 4-1-89; 5-1-89 (Emer.); 7-8-89; 1-1-90 (Emer.); 4-1-90; 4-2-90 (Emer.); 6-22-90; 1-1-91 (Emer.); 4-1-91; 4-2-91 (Emer.); 6-17-91; 1-1-92 (Emer.); 3-20-92; 4-1-92 (Emer.); 6-30-92; 1-1-93 (Emer.); 3-18-93; 3-25-93; 6-11-93; 9-1-93; 3-18-94; 2-1-95; 4-1-95 (Emer.); 6-11-95; 4-1-96; 1-1-97 (Emer.); 2-9-97; 12-3-97 (Emer.); 2-1-98; 1-8-99 (Emer.); 4-1-99; 1-1-00 (Emer); 4-1-00; 6-2-01; 5-12-02
Rule promulgated under: RC 111.15
Rule authorized by: RC 5111.011
Rule amplifies: RC 5111.01 , 5111.01.1
R.C. 119.032 review dates: 3/16/2006