CMS is specific on how SSI and RSDI income are to be rounded when determining eligibility for both Short-Term Medicaid and Long-Term Medicaid cases.
SSI income is located on the SDX (State Data Exchange System) screen. The worker rounds cents to the nearest whole dollar to determine countable gross SSI income. For example, 1¢ to 49¢ rounds down and 50¢ to 99¢ rounds up.
RSDI income is located on the BENDEX (Beneficiary and Earnings Data Exchange System) screen. The worker drops the cents from the gross benefit amount found on BENDEX. If the recipient receives RSDI, under two claim numbers, each BENDEX record will display a “CP” in the payment status code field B20. The worker will drop the cents on both BENDEX screens and then add the whole dollar figures together to determine countable RSDI.
Refer to policy 317:35-5-42 – ITS 12(a)(1 through 4) and (b).
Example 1
The BENDEX screen for Fred shows gross RSDI of $1,362.90. Worker drops the 90¢ and counts $1,362 on FACS.
Example 2
The BENDEX screen for Carol shows gross RSDI of $202.30. Carol also receives $361.70 in RSDI on a second claim number. Both RSDI amounts show “CP” in the B20 field on BENDEX. Worker drops the cents on each RSDI amount Carol receives and will then add them together to determine the countable RSDI. In this example, $202 + $361 = $563 to be coded on FACS using the primary RSDI claim number.
Example 3
The SDX screen for Gina shows gross SSI of $630.77. Worker rounds the SSI up to $631 to be counted on FACS because the cents are 50¢ or above.
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