IM-49 March 21, 2019; IM-30 April 19, 2018; IM-30 March 29, 2017; IM-26 May 9, 2016; IM-22 March 20, 2015; IM-28 March 17, 2006
The budgeting flowchart is no longer used by staff unless it is necessary to complete a paper budget, but is shown below to provide examples of how eligibility is determined for QDWI. These examples represent income standards effective April 1, 2018, through March 31, 2019.
Refer to MHABD Appendix J for current QDWI income standards.
Budgeting for QDWI eligibility follows budgeting guidelines for QMB on the IM-30A. Use Lines 1 through 11 on the IM-30A. Use the income standards as noted above on Line 10 rather than QMB income standards. Do not use Lines 12 through 18 on the IM-30A for QDWI as the claimant cannot receive MA and QDWI.
EXAMPLE:
Mr. Lawrence is a 56-year-old single person who has been receiving Social Security Disability for 6 years. He began employment on April 4, 2018. Social Security has determined Mr. Lawrence remains disabled and continues to be eligible for Medicare Part A with a premium. Mr. Lawrence earns $250.00 per week and is paid weekly. Mr. Lawrence is not MA eligible due to excessive resources.
| Gross Income (Line 1) ($250 x 4.333) |
$1,083.25 |
| Earned Income Exemption (Line 2) | 65.00 |
| Total (Line 2a) | 1,148.25 |
| Divide by 2 (Line 2b) | 574.13 |
| Total Exemptions (Line 2d) | 574.13 |
| Adjusted Earned Income (Line 3) | 509.12 |
| Non-earned Income (Line 4) | 00.00 |
| Total Adjusted Income (Line 5) | 509.12 |
| Personal Deduction (Line 6) | 20.00 |
| Total Exemptions (Line 8) | 20.00 |
| Adjusted Gross Income (Line 9) | 489.12 |
| QDWI Standard (Line 10) | 2,024.00 |
Mr. Lawrence is income eligible for the QDWI program.
EXAMPLE:
Mrs. Jones is 47-year-old and lives with her spouse. She has been receiving Social Security Disability for 4 years. Mr. Jones earns $1500.00 per month. Mrs. Jones became employed on April 19, 2018 earning $6.00 per hour, 40 hours per week and she is paid every 2 weeks. Social Security has determined that Mrs. Jones remains disabled and continues to be eligible for Medicare Part A with a premium. The Jones’ have available resources totaling $2950.00.
| Gross Earned Income (Line 1) ($6x40x2.166=519.84+1500) |
$2,019.84 |
| Earned Income Exemption (Line 2) | 65.00 |
| Total (Line 2a) | 2,084.84 |
| Divide by 2 (Line 2b) | 1,042.42 |
| Total Exemptions (Line 2d) | 1,042.42 |
| Adjusted Earned Income (Line 3) | 977.42 |
| Non-earned Income (Line 4) | 00.00 |
| Total Adjusted Income (Line 5) | 977.42 |
| Personal Exemption (Line 6) | 20.00 |
| Total Exemptions (Line 8) | 20.00 |
| Adjusted Gross Income (Line 9) | 957.42 |
| QDWI Standard (Line 10) | 2,744.00 |
Mrs. Jones is income eligible for the QDWI program.
EXAMPLE:
Mrs. Cree is 55 years old and lives with her 67-year-old spouse. Mr. Cree receives Social Security retirement of $777.00 per month. Mrs. Cree has been receiving Social Security Disability for 5 years. Mrs. Cree became employed on April 2, 2018. She earns $1600 per month. Social Security has determined that Mrs. Cree remains disabled and is eligible for Medicare Part A with a premium.
| Gross Earned Income (Line 1) | $1,600.00 |
| Earned Income Exemption (Line 2) | 65.00 |
| Total (Line 2a) | 1,665.00 |
| Divide by 2 (Line 2b) | 832.50 |
| Total Exemptions (Line 2d) | 832.50 |
| Adjusted Earned Income (Line 3) | 767.50 |
| Non-earned Income (Line 4) | 777.00 |
| Total Adjusted Income (Line 5) | 1,544.50 |
| Personal Exemption (Line 6) | 20.00 |
| Total Exemptions (Line 8) | 20.00 |
| Adjusted Gross Income (Line 9) | 1,524.50 |
| QDWI Standard (Line 10) | 2,744.00 |
Mrs. Cree is QDWI eligible.