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APPENDIX D: DESK REFERENCE FOR MEDICAL EYE CARE PROGRAM

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REVISED: 02/15/2012

DESK REFERENCE FOR MEDICAL EYE CARE PROGRAM

 

NC RESIDENCY

An individual is considered a resident if he/she is in NC voluntarily with the intent to Remain and is not an illegal alien. He/She must present a “green card” as verification. The “green card” is not green but is an I-551. This is also called a Permanent Resident Card. An I-94 with a temporary I-551 stamp can also be accepted as verification. A social security card does not document legal residence.

Income Computation

Sources

Deductions

Gross Wages

Payroll Deductions

    • Total earned income before deductions
    • Federal, State, Social Security (FICA) & Medicare taxes only.

Social Security / Disability

 

Pensions

    • VA, RR Ret., other retirement/pensions

     

 

Workmen’s Compensation

 

Unemployment Benefits

 

Court Ordered Child Support

 

Interest/Dividends

 
    • Interest must be counted even if A/R chooses to allow it to be added to account & not take immediate payment.
 

Self Employment/Farm Income

 

Support from Family/Friends

 

Other (i.e. alimony)

 

Income computation is based on family* income for 6 months preceding the date of application. However, the A/R may present written documentation of one month’s income and declare that his/her income has been the same for the other 5 months. If income is received weekly, multiply the weekly amount by 4.3 to obtain the monthly amount; if received bi-weekly, multiply by 2.16. At least 2 consecutive months of weekly or bi-weekly income must be totaled and then divided by number of pay periods used. Then multiply either by 4.3 or 2.16 to get representative monthly wages. See back of this reference and section 200 for further information.

** Family is the basic unit consisting of one or more adults and children, if any, related by blood, marriage, or adoption, and residing in the same household. Included in the family unit are it’s children age 18 through 22 who are listed on the family’s income tax return as dependents, but the adult income scale must be used to determine financial eligibility. Also, if related adults (other than spouses) or unrelated adults reside together, each is a separate family (see section 200: C Family 200 II C: Members in Household).

If income varies or if applicant has no income for some pay periods, add total income (including “0” for some pay periods) and follow examples below:

Monthly

 

Weekly

 

Bi-Weekly

 

1st month

$410

1st week

$210

1st pay period

$391

2ndmonth

$

2nd week

$175

2nd pay period

$408

3rd month

$600

3rd week

$145

3rd pay period

$210

4th month

$

4th week

$195

4th pay period

$114

5th month

$

5th week

$225

5th pay period

$401

6th month

$575

6th week

$241

   
   

7th week

$

   
   

8th week

$184

   

Total $1585 6 months = Average monthly income of $264.17.

 

Total for 8 consecutive weeks $1375 8 weeks = $171.88 x 4.3 weeks = Average monthly income of $739.08.

 

Total of all pay periods in two consecutive months= $1524 5 pay periods = $304.80 x 2.16 = Average monthly income of $658.37.

 

Net income scale for adults and children is the same

Family Size

Monthly maximum net income

1

$958

2

$1,293

3

$1,628

4

$1,963

5

$2,298

6

$2,633

7

$2,968

8

$3,303

9

$3,638

10

$3,973

For each additional family member, add $335 to monthly maximum net income

Important Facts About the Medical Eye Care Program

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  For questions or clarification on any of the policy contained in these manuals, please contact the local district office.


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