WAC 388-475-0900

Effective June 1, 2004

WAC 388-475-0900 SSI-related medical -- Allocating income.

The department considers income of financially responsible persons to determine if a portion of that income must be regarded as available to other household members.  

  1. When income is allocated from an SSI-related person to other household members, that income is considered as the other members' income.

  2. A portion of the income of a spouse or parent is allocated to the needs of an SSI-related applicant when the spouse or parent is:

    1. Financially responsible for the SSI-related person as described in WAC 388-408-0055 and 388-506-0620. For long-term care programs, see WAC 388-513-1315, 388-513-1330, 388-513-1350; for waiver programs see WAC 388-515-1505 through 388-515-1530;

    2. Living in the same household;

    3. Not receiving SSI; and

    4. Either not related to SSI or is not applying for medical assistance.

  3. Allocations to children are deducted from the nonapplying spouse's unearned income, then from their earned income, before they are deducted from the applicant's income. See 388-475-0820.

  4. If the conditions in subsection (2) are met, the income to be allocated from a parent to an SSI-related minor child applying for medical benefits is the amount remaining after deducting:

    1. All allowable income exclusions and disregards as described in 388-475-0750  through 388-475-0880;

    2. One-half of the federal benefit rate (FBR) for each SSI ineligible sibling of the SSI related child living in the household, minus any countable income of that child. See WAC 388-478-0055 for FBR amount;

    3. The parent's allowance, either the one person FBR for a single parent or two person FBR for a two-parent household.

  5. A portion of the countable income of a nonapplying spouse remaining after the deductions in subsection (4) may be allocated to the SSI-related spouse as follows for CN medical determinations:

    1. If the income is less than or equal to one-half of the FBR after allowing the income exclusions in subsection (4) of this section, no income is allocated to the client.

    2. If the income is equal to or more than one-half of the FBR after allowing the income exclusions in subsection (4) of this section, all income other than the excluded amounts is allocated to the applying spouse.

  6. Deductions from the income of the nonapplying spouse of an SSI-related applicant for CN medical determinations are:

    1. Income exclusions as described in 388-475-0750 through WAC 388-475-0880;

    2. One-half of the federal benefit rate (FBR) as described in 388-478-0055 for each eligible child in the household, minus the child's countable income.

  7. In determining MN medical eligibility for SSI-related applicants:

    1. If the income of the nonapplying spouse is less than the MNIL (see 388-478-0070) after applying any child allocation, a portion of the applying spouse's countable income is added to the nonapplying spouse's income to raise it to the MNIL for MN;

    2. If the income of the nonapplying spouse is more than the MNIL after applying any child allocation, the entire amount exceeding the MNIL is allocated to the applying spouse.

  8. Only income and resources actually contributed to an alien applicant from their sponsor are counted as income. For allocation of income from an alien sponsor, refer to 388-450-0155.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.