Income Considerations for the Medicare Premium Assistance Program 510-05-60-30

(Revised 12/1/19 ML #3569)

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(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; with the following exceptions for the Medicare Savings Program:

1. Married individuals living separate and apart from a spouse (for the full calendar month) are treated as single individuals;

2. The income disregards in 05-85-30 are allowed regardless of the individuals living arrangement;

3. The earned income of any blind or disabled student under age 22 is disregarded;

4. 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

5. The following income deductions are not allowed:

1. The cost of premiums for health insurance;
2. Medical expenses for necessary medical or remedial care incurred by a member of a Medicaid unit;
3. The cost of premiums for long term care insurance;
4. Transportation expenses necessary to secure medical care;
5. The cost of remedial care for an individual residing in a specialized facility; or
6. The mandatory payroll deductions withheld from earned income for aged, blind, or disabled applicants or recipients.