All Medicaid Programs |
Obsolete Policy |
Contact DWS Program Specialist for previous policy
Determine if the person or couple meets the income eligibility requirements for the aged and disabled FPL program in 305-2.
If so, the person or couple meets the income eligibility for the MWI.
If not, determine if the household income is below 250% of the FPL. Follow the steps in No. 2.
To do the 250% of FPL test:
Count the income of the client and the client’s spouse. If the client is a minor, count the income of the parent.
Count only income that is not excluded for DM. See sections 403-2, 403-4, 403-7 through 403-10, 405-3, and, 405-5.
Count only the actual contributions made by a spouse or parent in a nursing home or on a HCB waiver program.
Total the unearned income.
Subtract the $20 general disregard 409-6.
Total the earned income.
If the client is a minor child, allow the earned income exclusions found in section 405-4.
Subtract earned income deductions (409-2).
Total the remaining unearned and earned income.
Compare the countable income to 250% FPL for the household size. The household size for this test includes the following people who are not in an HCB waiver.
The client.
The spouse of the client.
Parents of a client under 18.
The client’s children who are under 18.
The client’s children who are 18 up to 21 and are full-time students
Siblings of the client under age 18 who are also under 18.
Siblings of a client under age 18 who are 18 up to 21 and are full-time students.
When countable household income does not exceed 250% of the FPL, the client passes the income test for the MWI program.
When countable household income is over 250% of the FPL, the client does not pass the income test for the MWI program. Determine eligibility under another Medicaid program.