Aged, Blind and Disabled (ABD) At-Home Budget Types

Aged, Blind and Disabled (ABD) At-Home Budget Types A. An eligible individual is someone who is single, widowed or divorced or separated from a spouse for a full month. The individual’s countable income is used to determine Aged, Blind and Disabled (ABD) at-home eligibility using the individual Supplemental Security Income (SSI) limit or the federal poverty level (FPL) for a household of one (1), whichever is applicable. B. An eligible couple is married or considered married, living together and are both applying for ABD at-home Medicaid. Income of both spouses is combined in determining eligibility against the couple SSI limit or FPL for a household of two (2), whichever is applicable. C. An eligible spouse with an ineligible spouse is one (1) in which one member of a married couple is applying for ABD at-home Medicaid but the other spouse is not applying as ABD. Income from the ineligible spouse is deemed available to the eligible spouse. If there are ineligible children living in the home, the ineligible spouse may allocate a portion of his/her income to each ineligible child based on the child’s own income prior to the deeming process. D. An eligible child under age eighteen (18) or under age twenty-two (22) and a student living with one (1) or both parents involves parent to child budgeting. The eligible blind or disabled child budget includes deeming income from the parent(s) to the child. 1. Parent(s) with other ineligible children living in the home may allocate a portion of their income to the ineligible children based on the child’s own income prior to the deeming process. 2. The parent(s) are allowed a living allowance that is equal to the SSI individual income limit for a one (1) parent household or the SSI couple limit for a two (2) parent household prior to deeming their income to an eligible child. 3. Parental income that has been deemed to the eligible child is combined with the eligible child’s own countable income. If there is more than one (1) eligible blind or disabled child living in the home, the deemed parental income is counted in equal proportionate shares in each eligible child’s budget. The child’s eligibility is determined using the individual SSI limit or the FPL for a household of one (1), whichever is applicable. E. Other budget types that involve multiple deeming situations include: 1. An eligible spouse with an ineligible spouse and an eligible child involves spouse to spouse deeming initially. If the eligible spouse (parent) is eligible with deemed income from the ineligible spouse, there is no further income deemed to the eligible child. If the eligible spouse is ineligible based on deemed income, income in excess of the FPL for a couple or income that is the difference between the SSI couple limit and the parent’s countable income, whichever is appropriate, is deemed to the eligible child. 2. An eligible individual or eligible couple with an eligible child or children is similar in that if the individual or couple is eligible based on the individual’s or couple’s own income, there is no income to deem to the eligible child(ren). If the individual or couple is ineligible, income in excess of the appropriate FPL or income that is the difference between the appropriate SSI limit and the parent’s countable income, whichever is appropriate, is deemed in equal amounts to the child(ren).