IM-81 4/26/01 MEDICAL ASSISTANCE SPOUSE CASES MR #17
|MEDICAL ASSISTANCE SPOUSE CASES
MANUAL REVISION #17 CHAPTER VI, PAGE 6
|The guidelines in Chapter VI, page 6,
(2) Spouse Case, have been revised. When a married couple is living
together, the Medical Assistance (MA) claimant is treated as a single individual
only when their spouse is receiving Medicaid under Supplemental Nursing
Care, Supplemental Aid to the Blind or an SP Conversion case.
When the spouse of a Medical Assistance claimant is receiving Medicaid under Blind Pension, MAF, MC+ or Transitional Medical Assistance, include that spouse's needs and income (including the BP cash grant) in the Medical Assistance eligibility determination.
When a spouse of a Medical Assistance claimant is receiving MAF with a Temporary Assistance cash grant, do not include the cash grant in the Medical Assistance eligibility determination.
This does not change policy regarding medical expenses of the spouse that are not paid by Medicaid (or MC+) being allowed to meet spenddown. In addition, continue to use the income and expenses of the Medical Assistance recipient in determining MAF, MC+, Temporary Assistance or General Relief eligibility if the person meets criteria for inclusion in that assistance group.