Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 104 - Income
Chapter 10 - Income Computations and Deeming
Rule 23-104-10.2 - Need Standards
Universal Citation: MS Code of Rules 23-104-10.2
Current through September 24, 2024
A. The appropriate need standard used to test income depends on the coverage group for which the client is applying.
B. Medicaid need standards are based on the following:
1.
SSI Federal Benefit Rates (FBR) set by SSI policy and subject to increase in
January of each year. SSI FBRs are used for SSI-related cases.
a) Countable income cannot equal or exceed
the appropriate FBR for Medicaid eligibility.
2. Federal Poverty Levels (FPL) set by the
federal government and subject to change each year, usually in February or
March. FPLs are used at varying rates (100%, 120%, 135%, 200%, and 250%)
depending on the coverage group.
a) Countable
income can be equal to, but cannot exceed the appropriate FPL for Medicaid
eligibility.
3. 300% of
the SSI FBR is the formula required by federal regulation,
42
CFR 435.1005, to set the institutional need
standard for all long term care coverage groups. This limit is subject to
increase in January of each year when SSI FBRs increase.
a) Countable income cannot be equal to or
exceed the institutional limit for Medicaid eligibility.
b) If income does equal or exceed the limit,
ineligibility exists for that month unless an Income Trust is in
effect.
Social Security Act §1902 (r)(2); 42 CFR §435.601(b) (Rev 1994); 42 CFR 435.1005.
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