Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 103 - Resources
Chapter 14 - Deeming of Resources
Rule 23-103-14.1 - Treatment of Resource Deeming
Universal Citation: MS Code of Rules 23-103-14.1
Current through September 24, 2024
A. For SSI and Medicaid purposes, an individual's resources are deemed to include any resources of an ineligible spouse or ineligible parent(s).
1. Resources are deemed whether or not they
are actually available.
2. Deeming
only applies in household situations, i.e., it only applies to an eligible with
an ineligible spouse or parent(s).
a) In
deeming resources from one spouse to the other, consider only the resources of
those two individuals.
b) In
deeming resources from a parent to a child, consider only the resources of the
parent.
c) Where there is more than
one eligible child, the resources available for deeming are shared equally
among the children.
1) Eample: If there are
two eligible children and $500 in parental resources must be deemed, deem $250
to each child.
d) Do not
include the resources of a stepparent who is not legally liable for support of
the child under state law in the deeming process.
B. Effective September 1, 1987, pension funds owned by an ineligible spouse or parent(s) are excluded from resources for deeming purposes.
1. This
exclusion applies in order for an ineligible spouse or parent(s) to provide for
their own future support.
2.
Pension funds are defined as monies held in a retirement fund under a plan
administered by an employer or union, or an individual retirement account (IRA)
or Keogh account as described by Internal Revenue Code.
C. When deeming spouse to spouse:
1. The ineligible spouse's resources must be
verified and documented as required for the eligible spouse.
2. Total countable resources are the
combination of the resources of the eligible individual and ineligible spouse
after all applicable resource exclusions are applied.
3. Total countable resources are compared to
the resource limit for a couple.
4.
If the amount of the resources does not exceed the limit, the
applicant/recipient meets the resource eligibility requirement.
5. If countable resources exceed the limit
for a couple, the applicant/recipient is ineligible.
6. Eligible Spouses Not Living Together.
a) If an eligible individual and eligible
spouse are not living together, the resources of both members (whether owned
separately by each or jointly by both) are combined only for the month of
separation.
b) Each member of the
couple is treated as an eligible individual beginning with the month after the
month of separation, i.e., no longer living in the same household, and the
resource limit for each is the individual resource limit.
7. When a change occurs in marital status, a
new resource limit is established and a new resource determination is made for
the first month in which the new resource limit (individual or couple) is
effective as a result of the change.
a) Make a
new resource determination for the first month in which a new resource limit
(individual or couple) is effective as a result of the change in marital
status.
1) Example: If two eligible
individuals marry in February, a new resource determination would be required
for March since the individuals became a couple effective on the first day of
March as a result of the marriage. For SSI or Medicaid purposes, the marital
relationship of a couple can be ended by death, divorce or annulment:
(a) If a marriage ends by death, divorce or
annulment in the same month the marriage begins, treat the marriage as though
it had not occurred.
(b) Beginning
with the month following the month of the death of one member of a couple, the
surviving member will be an eligible individual if all other eligibility
criteria are met.
(c) If the
marital relationship of a couple terminates by divorce or annulment, each
member of the couple should be treated as an individual effective the first day
of the month following the month the couple no longer lives in the same
household.
D. When deeming from Parent to Child to determine elgibility for a child under age 18 (or under 21, if a student), who lives with his parent(s):
1. The resources of
the child include the value of the countable resources of the parent(s) or
parent/stepparent to the extent that the resources of the parent(s) or
parent/stepparent exceed the resource limit of:
a) An individual, if one parent lives in the
household; or
b) A couple, if two
parents live in the household.
2. The following should be considered:
a) Do not include the resources of the
stepparent in the deeming process.
b) The value of parental resources is subject
to deeming whether or not those resources are available to the child.
c) If there is more than one eligible child
under 18 or (under 21, if a student) in the household, equally divide the value
of the deemed resources among those children.
1) If an eligible child is later determined
ineligible for any reason or is no longer subject to deeming (e.g., after
attainment of age 18), divide the value of the deemed resources among the
remaining eligible children effective with the first month the child is
ineligible or no longer subject to deeming.
3. A child's total countable resources are
the combination of the value of the deemed resources and the non-excluded
resources of the child. A child's countable resources are compared with the
resource limit for an individual with no spouse. If the resources do not exceed
the limit, the child meets the resource eligibility requirement. If countable
resources exceed the limit, the child is ineligible because of the excess
resources.
4. When more than one
eligible individual lives in the same household and there is a parent-child
relationship, a multiple deeming situation may exist:
a) If a child under age 18 (or under 21, if a
student) lives in the same household with a parent(s) applying for Medicaid or
an eligible parent(s), determine the countable resources of the
parent(s).
b) If the parent(s)
meets the resource eligibility requirement, do not deem the value of any
parental resources to the child.
c)
If the parent(s) do not meet the resource eligibility requirements, follow the
usual parent-to-child resource deeming rules to determine the value of the
deemed parental resources.
Social Security Act §1902 (r)(2); 42 CFR §435.601(b) (Rev 1994).
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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