For Medicaid eligibility, we count income for ABD-related benefits consistent with SSI’s methodology. This ensures that SSI recipients are deemed eligible for Medicaid without requiring additional income or resource verification. (An SSI recipient should never be required to provide verification of income or resources for ABD benefits.)

On the SDX screen in IMS the following blocks are:

Block 16 Earned Income is the countable earned income after SSI applied all their deductions. Use this as the countable earned income in FACS. You won’t apply any deductions to this amount.

Block 17 Deemed Income is the amount SSI counts from a parent for a minor child or from a spouse for an adult. (This amount and SSI amount helps to determine what SSI is counting)

Block 8 Countable Unearned listed (This amount and SSI amount helps determine what SSI is counting).

Block 9 Specific sources of unearned income are listed in the bottom of the SDX such as Soc. Sec, Child Support, VA, and pensions, etc.  Lines with no end date are what SSI identified as what the person is currently receiving. Upon verification, these sources are to be coded in FACS accordingly.

***Report to SSI if the client has any income not being counted toward the SSI benefit per the SDX screen. The income not being counted toward the SSI benefit is either diverted or not entered into FACS. Update the case notes.

When you have ABD and SNAP for an SSI recipient on the same case, please reference the following article to know how to code the income so that it counts correctly for each benefit: How to Code SSI Income to Count Correctly for SNAP and SSP | Quest

Example 1

Terry reports he receives SSI, RSDI, and works about 10 hours a week at Taco Indio.

His SDX screen looks like this:

Income to be coded in FACS

Earned income: $17 (drop the cents off earned income so that only one income source is rounded up)

SSI: $726 ($725.50 rounded up)

RSDI: $244

Example 2

Jean is on SSI and married to Tim. Tim works so SSI is deeming income from him to her. Her SDX screen looks like this:

Income to be coded in FACS

Jean SSI: $883 ($882.50 rounded up)

Tim Countable Earned: $568 (rounded up from $567.50)

Wage Indicator: Above Minimum Wage

Example 3

Jonathan Harris is a child on SSI. His SDX looks like this: The gross amount in 006 needs to be coded in FACS. (Block 017 is the amount SSI used to determine the payment.

Income coded in FACS:

SSI: $26 (rounded up from $25.50)