360-4.2 Size of MA household.
(a) For needy individuals under 21, pregnant women, persons ineligible
for ADC solely because their incomes and resources exceed ADC eligibility standards, and
parents described in section 360-3.3(b) of this Part, an MA household is all MA
applicants/recipients who live together in a single dwelling who apply for or receive MA
as a unit, and any legally responsible relative who does not receive HR, ADC, or SSI and
resides with an applicant/recipient. Any person who receives HR, ADC, or SSI will not be
included as a member of an MA household, and the income and resources of such a person
will not be considered when social services districts determine the MA eligibility of the
applicant(s)/recipient(s).
(b) For adults who are aged, blind or disabled or certified disabled,
an MA household is the aged, blind or disabled person and his or her spouse who lives with
him or her if the spouse is
(i) also aged,
certified blind or certified disabled, or
(ii) has remaining
income after allocation which is equal to or greater than the difference between the
medically needy income standard for one, and the medically needy income standard for two.
For other aged, certified blind or certified disabled adults who live with their spouses,
an MA household consists of one person for income purposes, but consists of two persons
for resource purposes. For all other aged, certified disabled, or certified blind
applicant(s)/recipient(s), an MA household consists of one person.
(c) Special rules.
(1) An MA household which contains a pregnant
woman will be increased by one if the pregnancy is medically verified, except for
applicant(s)/ recipient(s) whose eligibility is being determined under the budgeting
methodology used for aged, certified blind and certified disabled individuals. The
increase will begin three months prior to the month of application or on the date of
conception, whichever is later.
(2) A household member who is temporarily
absent, as defined in section 360-1.4(p) of this Title, will continue to be included in
the household.