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Adult Medicaid Manual MA-2340 CHANGE IN SITUATION

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II. TYPES OF CHANGES

REISSUED 08/01/13 – CHANGE NO. 05-13

(II.a.1.b.)

REVISED 08/01/13 – CHANGE NO. 05-13

(II.B.1.)

REISSUED 08/01/13 – CHANGE NO. 05-13

(II.C.2.a.)

REISSUED 08/01/13 – CHANGE NO. 05-13

(II.E.3.)

REISSUED 08/01/13 – CHANGE NO. 05-13

(II.E.)

-

Social Security
$20 exemption

 

Countable monthly income

-

CN Maintenance allowance for 1

 

$0 No excess, eligible

Step (1)

-

Social Security
$20 Exemption

   

Countable monthly income

 

-

N Maintenance allowance for 1

   

$0 No excess, eligible

Step (2)

 

Gross monthly income (VA + SSA)

 

-

$20 exemption

   

Countable monthly income

 

-

M Maintenance allowance for 1

   

Excess income

 

x

4 months (June – September)

   

Excess income for June – September

REISSUED 08/01/13 – CHANGE NO. 05-13

(II.E.12.)

-

Gross monthly income (SSA + wages)
Maintenance allowance for 2

x

Excess income
6 months

 

Deductible

Step (1)

 

Same as original budget except multiply excess income by 3 months
(March – May).

Step (2)

-

Countable monthly income (SSA)
MN Maintenance allowance for 2

 

x

Excess income
3 months

   

Excess income June – August

Step (3)

+

Excess income March – May
Excess income June – August

   

Adjusted deductible for 6 months period

-

Monthly countable income
M
Maintenance allowance for 1

x

Excess income
3 months (July - September)

 

Adjusted deductible

REISSUED 08/01/13 – CHANGE NO. 05-13

(II.E.12.)

-

Mr.’s income
Mrs.’ income

-

Gross monthly income
$20 exemption

x

Total countable income
M
Monthly maintenance allowance for 2

x

Excess income
6 months

 

Deductible

Step (1)

-

Total countable income (Mr. & Mrs.)
M
Maintenance allowance for 2

 

x

Excess income
3 months

   

Deductible for January – March

Step (2)

-

Mr.’s countable income
M
Maintenance allowance for 1

 

x

Excess income
3 months

 

+

Deductible for April – June
Deductible for January – March

   

Mr.’s total deductible

REISSUED 08/01/13 – CHANGE NO. 05-13

(II.E.12.)

Jan. - April

Step (1)

-

Total countable income (Mr. & Mrs.)
M
Maintenance allowance for 2

   

x

Excess income
4 months (January - April)

     

Deductible

May - June

Step (2)

-

M Maintenance allowance for 1
Mrs.' monthly countable income

   

x

Balance
2 months (May - June)

     

Maintenance allowance adjustment (MAA)

    Step (3)

-

Deductible for January – April
MAA for May – June______________

   

Adjusted deductible January - June

-

Gross monthly income (RSDI and disability income)
$20 exemption

-

Total countable income
MN
Monthly maintenance allowance for 1

x

Excess income
6 months (January – June)

 

Deductible

-

Total countable income
MN
Monthly maintenance allowance for 1

x

Excess income
3 months (January – March)

 

Deductible

REISSUED 08/01/13 – CHANGE NO. 05-13

(II.F.)

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