Ohio Administrative Code
Title 5160:1 - Eligibility
Chapter 5160:1-3 - Medicaid for the Aged, Blind, or Disabled (ABD)
Section 5160:1-3-03.5 - Medicaid: application of income standards
Universal Citation: OH Admin Code 5160:1-3-03.5
Current through all regulations passed and filed through September 16, 2024
(A) The purpose of this rule is to set forth the application of income standards used in medicaid eligibility determinations for aged, blind, or disabled individuals.
(B) Definitions.
(1) "Income standard" means the income limit
above which an individual is ineligible for a given category of medicaid for
the aged, blind or disabled.
(2)
"Couple income standard" is equal to the current supplemental security income
(SSI) benefit rate for a couple. The updated figure is published annually by
the social security administration.
(3) "Individual income standard" is equal to
the current supplemental security income (SSI) benefit rate for an individual.
The updated figure is published annually by the social security administration.
(C) Application of income standards.
(1) For an individual, countable income is
compared to the appropriate individual income standard.
(2) For a married couple:
(a) If both members of the married couple are
categorically eligible, countable income is compared to the appropriate couple
income standard.
(b) If only one
member of the married couple is categorically eligible, countable income may be
compared to either the individual income standard or the couple income
standard, in accordance with the deeming provisions set forth in rule
5160:1-3- 03.3 of the Administrative Code.
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