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1 change: 1 addition & 0 deletions changelog.d/ct-husky-c-per-member-disregard.fixed.md
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Connecticut's aged, blind and disabled Medicaid pathway subtracts the unearned income disregard from each spouse's own unearned income (UPM 5030.15 A).
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description: The state subtracts the individual income disregard from each spouse's own unearned income, instead of subtracting the couple disregard from the couple's combined unearned income, under the optional Medicaid pathway for seniors or people with disabilities, if this is true.
metadata:
unit: bool
period: year
label: Medicaid senior or disabled income disregard applies per member
breakdown:
- state_code
reference:
- title: Connecticut DSS Uniform Policy Manual 5030.15 A - Unearned Income Disregards, AABD and MAABD
href: https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/upms/upm5---treatment-of-income-income-eligibility/5030_15.doc
- title: Connecticut DSS Uniform Policy Manual 5045.10 C and E - Applied Income Calculation Method, AABD and MAABD
href: https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/upms/upm5---treatment-of-income-income-eligibility/5045_10.doc

AK:
2015-01-01: false
AL:
2015-01-01: false
AR:
2015-01-01: false
AZ:
2015-01-01: false
CA:
2015-01-01: false
CO:
2015-01-01: false
CT:
2015-01-01: true
DC:
2015-01-01: false
DE:
2015-01-01: false
FL:
2015-01-01: false
GA:
2015-01-01: false
HI:
2015-01-01: false
IA:
2015-01-01: false
ID:
2015-01-01: false
IL:
2015-01-01: false
IN:
2015-01-01: false
KS:
2015-01-01: false
KY:
2015-01-01: false
LA:
2015-01-01: false
MA:
2015-01-01: false
MD:
2015-01-01: false
ME:
2015-01-01: false
MI:
2015-01-01: false
MN:
2015-01-01: false
MO:
2015-01-01: false
MS:
2015-01-01: false
MT:
2015-01-01: false
NC:
2015-01-01: false
ND:
2015-01-01: false
NE:
2015-01-01: false
NH:
2015-01-01: false
NJ:
2015-01-01: false
NM:
2015-01-01: false
NV:
2015-01-01: false
NY:
2015-01-01: false
OH:
2015-01-01: false
OK:
2015-01-01: false
OR:
2015-01-01: false
PA:
2015-01-01: false
RI:
2015-01-01: false
SC:
2015-01-01: false
SD:
2015-01-01: false
TN:
2015-01-01: false
TX:
2015-01-01: false
UT:
2015-01-01: false
VA:
2015-01-01: false
VT:
2015-01-01: false
WA:
2015-01-01: false
WI:
2015-01-01: false
WV:
2015-01-01: false
WY:
2015-01-01: false
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Expand Up @@ -105,3 +105,54 @@
# rounding, 1,131.75 would exceed the $1,131 standard.
medicaid_optional_senior_or_disabled_countable_income: 13_572
is_optional_senior_or_disabled_income_eligible: true

- name: Connecticut couple with each spouse above the individual disregard gets twice the individual disregard.
period: 2025
absolute_error_margin: 0.01
input:
people:
person1:
age: 70
is_tax_unit_head: true
ssi_unearned_income: 15_600
person2:
age: 68
is_tax_unit_spouse: true
ssi_unearned_income: 7_800
marital_units:
marital_unit:
members: [person1, person2]
households:
household:
members: [person1, person2]
state_code: CT
output:
# UPM 5030.15 A: (1,300 - 535) + (650 - 535) = 880 a month.
# 880 x 12 / 2 = 5,280 each.
medicaid_optional_senior_or_disabled_countable_income: [5_280, 5_280]

- name: Connecticut couple gets the disregard only up to a spouse's own unearned income.
period: 2025
absolute_error_margin: 0.01
input:
people:
person1:
age: 70
is_tax_unit_head: true
ssi_unearned_income: 18_000
person2:
age: 68
is_tax_unit_spouse: true
ssi_unearned_income: 3_600
marital_units:
marital_unit:
members: [person1, person2]
households:
household:
members: [person1, person2]
state_code: CT
output:
# UPM 5030.15 A: (1,500 - 535) + max(300 - 535, 0) = 965 a month.
# 965 x 12 / 2 = 5,790 each. Subtracting the 1,070 couple disregard from
# the combined 1,800 would give 4,380 each.
medicaid_optional_senior_or_disabled_countable_income: [5_790, 5_790]
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Expand Up @@ -13,6 +13,9 @@ class medicaid_optional_senior_or_disabled_countable_income(Variable):
reference = (
"https://www.law.cornell.edu/uscode/text/42/1396a#m",
"https://www.kff.org/medicaid/medicaid-financial-eligibility-for-seniors-and-people-with-disabilities-findings-from-a-50-state-survey/",
# Connecticut unearned income disregard per member
"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/upms/upm5---treatment-of-income-income-eligibility/5030_15.doc",
"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/upms/upm5---treatment-of-income-income-eligibility/5045_10.doc",
# Missouri MHABD budgeting order and rounding
"https://dssmanuals.mo.gov/mo-healthnet-for-the-aged-blind-and-disabled/0805-000-00/0805-015-00/",
"https://dssmanuals.mo.gov/mo-healthnet-for-the-aged-blind-and-disabled/0805-000-00/0805-015-00/0805-015-25/",
Expand Down Expand Up @@ -44,9 +47,20 @@ def formula(person, period, parameters):
p = parameters(
period
).gov.hhs.medicaid.eligibility.categories.senior_or_disabled.income.disregard
# UPM 5030.15 A subtracts the individual disregard from each member's
# own unearned income, and UPM 5045.10 E sums the members' results, so
# each spouse uses the disregard only up to their own unearned income.
own_unearned_monthly = person("ssi_unearned_income", period) / MONTHS_IN_YEAR
per_member_disregard = person.marital_unit.sum(
min_(own_unearned_monthly, p.individual[state])
)
applies_per_member = p.applies_per_member[state].astype(bool)
couple_disregard = where(
applies_per_member, per_member_disregard, p.couple[state]
)
income_disregard = where(
couple_computation,
p.couple[state],
couple_disregard,
p.individual[state],
)
personal_countable = _apply_medicaid_optional_senior_or_disabled_exclusions(
Expand Down