Rule 5160:1-3-03.5 | Medicaid: application of income standards.
(A) The purpose of this rule is to set forth the application of income standards used in eligibility determinations of medical assistance for aged, blind, or disabled individuals.
(B) Definitions.
(1) "Income standard" means the income limit above which an individual is ineligible for a given category of medical assistance for the aged, blind, or disabled.
(2) "Couple income standard" is equal to the current supplemental security income (SSI) benefit rate for a couple. The updated figure is published annually by the social security administration.
(3) "Individual income standard" is equal to the current supplemental security income (SSI) benefit rate for an individual. The updated figure is published annually by the social security administration.
(C) Application of income standards.
(1) For an individual, countable income is compared to the appropriate individual income standard.
(2) For a married couple:
(a) When both members of the married couple are categorically eligible, countable income is compared to the appropriate couple income standard.
(b) When only one member of the married couple is categorically eligible, countable income may be compared to either the individual income standard or the couple income standard, in accordance with the deeming provisions set forth in rule 5160:1-3-03.3 of the Administrative Code.
Last updated June 9, 2025 at 3:37 PM
Supplemental Information
Amplifies: 5160.02, 5163.02
Five Year Review Date: 6/8/2030
Prior Effective Dates: 9/3/1977, 12/31/1977, 3/1/1979, 10/1/1979, 12/7/1979, 1/3/1980, 7/1/1980, 8/1/1981, 7/1/1982, 12/1/1982, 7/1/1983 (Temp.), 9/24/1983, 1/1/1985 (Emer.), 4/1/1985, 5/1/1985 (Emer.), 7/31/1985, 1/1/1986 (Emer.), 4/1/1986, 1/1/1987 (Emer.), 3/20/1987, 1/1/1988 (Emer.), 2/1/1988 (Emer.), 3/21/1988, 1/1/1989 (Emer.), 4/1/1989, 5/1/1989 (Emer.), 7/8/1989, 1/1/1990 (Emer.), 4/1/1990, 4/2/1990 (Emer.), 6/22/1990, 1/1/1991 (Emer.), 4/1/1991, 4/2/1991 (Emer.), 6/17/1991, 1/1/1992 (Emer.), 3/20/1992, 4/1/1992 (Emer.), 6/30/1992, 1/1/1993 (Emer.), 3/18/1993, 3/25/1993, 6/11/1993, 9/1/1993, 3/18/1994, 2/1/1995, 4/1/1995 (Emer.), 6/11/1995, 4/1/1996, 1/1/1997 (Emer.), 2/9/1997, 12/3/1997 (Emer.), 2/1/1998, 1/8/1999 (Emer.), 4/1/1999, 1/1/2000 (Emer.), 4/1/2001, 6/2/2001, 5/12/2002, 1/25/2015, 7/1/2016, 3/1/2017