Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-304 - Income and Budgeting
Section R414-304-14 - Aged, Blind and Disabled Medicaid, Medicaid Work Incentive, QMB, SLMB, and QI Filing Unit
Current through Bulletin 2024-06, March 15, 2024
(1) The Department adopts and incorporates by reference 42 CFR 435.601 and 435.602, October 1, 2012 ed., and Subsections 1902(m)(1) and (2), and 1905(p) of the Compilation of the Social Security Laws, in effect January 1, 2013.
(2) The eligibility agency shall count the following individuals in the BMS for aged, blind and disabled Medicaid:
(3) The eligibility agency shall count the following individuals in the household size for the 100% of poverty aged or disabled Medicaid program:
(4) The eligibility agency shall count the following individuals in the household size for a QMB, SLMB, or QI case:
(5) The eligibility agency shall count the following individuals in the household size for the MWI program:
(6) Eligibility for aged, blind and disabled non-institutional Medicaid and the spenddown, if any; aged and disabled 100% poverty-related Medicaid; and QMB, SLMB, and QI programs is based on the income of the following individuals:
(7) Eligibility for the MWI program is based on income of the following individuals:
(8) If a person is included in the BMS, it means that the eligibility agency shall count that family member as part of the household and also count his income and resources to determine eligibility for the household, whether or not that family member receives medical assistance.
(9) If a person is included in the household size, it means that the eligibility agency shall count that family member as part of the household to determine what income limit applies, regardless of whether the agency counts that family member's income or whether that family member receives medical assistance.