New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 201 - MEDICAID ELIGIBILITY - MEDICAID EXTENSION (CATEGORY 01, 03 and 04)
Part 500 - INCOME AND RESOURCE STANDARDS
Section 8.201.500.14 - COMPUTATION OF COLA DISREGARDS IN PICKLE AND 503 LEADS CASES
Universal Citation: 8 NM Admin Code 8.201.500.14
Current through Register Vol. 35, No. 18, September 24, 2024
A. An applicant/ recipient's countable income, after exclusion of the Title II COLAs received following SSI termination, must be less than the current SSI federal benefit rate (FBR).
B. To determine the total amount of the applicant/ recipient's Title II COLAs received since the applicant/recipient lost SSI, the following calculation must be completed:
(1) divide the current Title II amount by the
percentage amount of the previous year's COLA;
(2) repeat this calculation for each Title II
COLA benefit received after the applicant lost SSI; computations are based on
the previous year's COLA and previous benefit; see
8.200.520.12 NMAC, COLA
disregard computation, of 503 leads and pickle cases;
(3) when the last computation is completed,
the result is the Title II benefit amount the applicant/ recipient was
receiving when they lost SSI;
(4)
subtract this amount from the current Title II benefit amount; the result is
the aggregate Title II COLAs the applicant/recipient received after losing SSI;
and
(5) subtract the aggregate
COLAs from the applicant/recipient's countable income to determine if the
income is below the current SSI FBR.
C. If the resulting income is below the current SSI FBR, and the applicant/recipient meets all other requirements for SSI, they are eligible for medicaid extension.
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