210.05 Financial Eligibility Requirements SR 02-04, 02/02 (AAM-A)

Income and resource requirements and treatments that apply to MEAD-eligible individuals are noted below.

Income Requirements

Determine net income for MEAD by applying the APTD or ANB treatment and disregards to the individual’s, and the spouse’s gross income if they reside together, based on the individual’s disability. See Chapter 600, STANDARDS AND BUDGETS.

Net income is also determined as noted above if either or both spouses qualify for HCBC services. If the couple meets MEAD financial eligibility requirements, and either or both spouses meet the medical criteria for HCBC services, the HCBC-eligible individual is opened for HCBC services on New HEIGHTS as a group size of 1, but financial eligibility is based on a group size of 2.

The individual’s net income, and, if residing with a spouse, the spouse’s net income, as determined in the section on Treatment of Income below must not exceed 450% of the Federal Poverty Level Guidelines. See PART 601, Table F, Income Limits for Medicaid for Employed Adults with Disabilities.

Resource Requirements and Treatment

The individual’s countable resources, and, if residing with a spouse, the individual and spouse’s countable resources must not exceed the resource limits in Section 407.01, Financial and Categorically Needy Medical Assistance. This treatment also applies to a married couple residing together when either or both spouses are eligible for HCBC services.

In addition to resources excluded for ANB and APTD, the following resources are excluded when determining eligibility for medical coverage under MEAD:

• retirement plans, including all IRA and Keogh accounts; and

• MEAD-specific resources which consist of MEAD employability accounts and medical savings accounts as defined in Section 210.07, MEAD-Specific Resources.

See PART 413, MEAD PROTECTED EARNED INCOME (EI) RESOURCES, regarding treatment of MEAD protected EI (earned income) resources.