Medicaid Integrated Health Care Coverage, SSI Financial Eligibility Determinations (210-RICR-40-00-3)


This rule will be effective on 05/20/2024.
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3.1Overview of the SSI Methodology

3.2SSI Methodology: Treatment of Income

3.3Factors Considered in the Treatment of Income

3.4Federally Mandated Income Exclusions

3.5SSI Methodology: Treatment of Resources

3.6Factors Considered in the Treatment of Resources

3.7Federally Mandated Exclusions

Title 210 Executive Office of Health and Human Services
Chapter 40 Medicaid for Elders and Adults with Disabilities
Subchapter 00 Integrated Coverage Groups
Part 3 Medicaid Integrated Health Care Coverage, SSI Financial Eligibility Determinations (210-RICR-40-00-3)
Type of Filing Direct Final Amendment
Regulation Status Inactive
Effective 07/23/2022 to 01/01/2023

Regulation Authority:

42 U.S.C. 1396r-5(d)

Purpose and Reason:

Pursuant to 42 U.S.C. 1396r-5(d), when an institutionalized individual has a spouse living in the community, deductions must be made from the institutionalized individual’s income to provide money for the spouse living in the community.  The FPL is used to calculate this amount and therefore must be updated annually to reflect the adjustments made to the FPL each year.  This adjustment must be reflected in our regulations.

This amendment makes the annual July 1 update to Medicaid regulation to reflect the new Minimum Monthly Maintenance of Need Allowance and Community Spouse Monthly Housing Allowance for 2022.

The updated dollar amounts in this regulation directly impact Medicaid eligibility and are effective as of 7/1/2022. Due to a delay in the SSA’s official release of the 2022 Spousal Impoverishment Numbers, this regulation has been promulgated as an Emergency amendment and was signed by the governor's office on 6/17/22.  This direct final promulgation is intended to supersede the emergency promulgation when it is finalized.

INACTIVE RULE Amendment - effective from 03/02/2018 to 01/08/2019
Click here to view previous versions of this Part.