Family and Children's Medicaid MA-3305 MAF, MIC, HSF BUDGETING

REISSUED 07/01/10 – CHANGE NO. 08-10

I. INTRODUCTION

This section contains budgeting instructions for MAF, MIC and HSF, including rules for when to compute a deductible and when to evaluate eligibility. Instructions for MPW are contained in MA-3310, MPW Budgeting.

To determine eligibility for Medicaid:

A. Identify all the person(s) in the home for whom assistance is requested. This is the assistance unit.

B. Identify whose income to count in the budgeting process. The members of the assistance unit plus these identified individuals constitute the budget unit.

C. Identify children in the home under 21 who are not in the assistance unit but must be considered in determining the correct income limit to use in determining eligibility because their parents are in the budget unit. The needs unit is comprised of members of the budget unit plus these children.

D. Identify the correct income limits (based on needs unit) and resource limits (based on budget unit) to use in determining eligibility.

E. Re-evaluate eligibility if any members of the original assistance unit are ineligible or have a deductible. This may mean establishing more than one assistance unit and/or evaluating under other Medicaid coverage groups.