5160:1-3-03.5. Medicaid: application of income standards

(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.

Effective: 3/1/2017
Five Year Review (FYR) Dates: 07/01/2021
Promulgated Under: 111.15
Statutory Authority: 5160.02, 5163.02
Rule Amplifies: 5160.02, 5163.02
Prior Effective Dates: 9/3/77, 12/31/77, 3/1/79, 10/1/79, 12/7/79, 1/3/80, 7/1/80, 8/1/81, 7/1/82, 12/1/82, 7/1/83 (Temp.), 9/24/83, 1/1/85 (Emer.), 4/1/85, 5/1/85 (Emer.), 7/31/85, 1/1/86 (Emer.), 4/1/86, 1/1/87 (Emer.), 3/20/87, 1/1/88 (Emer.), 2/1/88 (Emer.), 3/21/88, 1/1/89 (Emer.), 4/1/89, 5/1/89 (Emer.), 7/8/89, 1/1/90 (Emer.), 4/1/90, 4/2/90 (Emer.), 6/22/90, 1/1/91 (Emer.), 4/1/91, 4/2/91 (Emer.), 6/17/91, 1/1/92 (Emer.), 3/20/92, 4/1/92 (Emer.), 6/30/92, 1/1/93 (Emer.), 3/18/93, 3/25/93, 6/11/93, 9/1/93, 3/18/94, 2/1/95, 4/01/95 (Emer.), 6/11/95, 4/1/96, 1/1/97 (Emer.), 2/9/97, 12/3/97 (Emer.), 2/1/98, 1/8/99 (Emer.), 4/1/99, 1/1/00 (Emer), 4/1/01, 6/2/01, 5/12/02, 1/25/15, 7/1/16