Income Considerations for the Medicare
Savings Program 510-05-60-30
(Revised 8/1/05 ML #2981)
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IM 5359
(N.D.A.C. Section 75-02-02.1-22(7))
Income calculations must consider income in the manner provided for in the medically needy income considerations; unearned income; earned income; disregarded income; and income deductions; except:
- Married individuals living separate and apart from a spouse (for the full calendar month) are treated as single individuals;
- The income disregards in 05-85-30 are allowed regardless of the individuals living arrangement;
- The earned income of any blind or disabled student under age 22 is disregarded;
- The $20 income deduction (described in 05-85-35(9) and the $65 plus one-half income deduction (described in 05-85-35(11)(e)) are allowed regardless of the individual’s living arrangement; and
- The following income deductions are not allowed:
- The cost of premiums for health insurance;
- Medical expenses for necessary medical or remedial care incurred by a member of a Medicaid unit;
- The cost of premiums for long term care insurance;
- Transportation expenses necessary to secure medical care;
- The cost of remedial care for an individual residing in a specialized facility; or
- The mandatory payroll deductions withheld from earned income for aged, blind, or disabled applicants or recipients.

