BASIC (11-02)

SI 02009.045 Both Members of an Eligible Couple Change to Different Living Arrangements Within a Quarter

EXAMPLES

1. One Member of a couple Goes From L/A A to L/A B, the Other Member Goes from L/A A to L/A D Within a Quar­ter. There is No Month Where the Computation in SI 02009.030 Applies. - (Example 1)

Mr. and Mrs. Bertho are an eligible couple. Mr. Bertho receives a pension payable the third month of each quar­ter in the amount of $540. On November 18, 1981 Mr. Bertho enters a nursing facility and Medicaid pays over 50 percent of all costs. On November 23, 1981, Mrs. Bertho goes to stay with her daughter while Mr. Bertho remains in the nursing home. Mrs. Bertho makes no con­tribution to their daughter's household expenses (i.e., re­ceives in-kind support and maintenance). Mr. Bertho remains in the nursing facility throughout December 1981.

Couple Status Short Quarter of October/November 1981

$794.00

FBR for short quarter of couple status

$ 36.16

Countable income (Presumed maximum value for one member of the couple less the $40 (two month) exclusion-- $76.16-$40 =$36.16)

$757.84

Short quarter payment amount

$378.92

Monthly payment amount to the couple

$189.46

Monthly payment amount to each member

Individual Status Short Quarter of December 198]

Mr. Bertho

$ 25.00

FBR for short quarter of individual status

$620.00

Countable income ($640-20 general exclusion for one month)

$0.00

Payment amount for the short quarter

Mrs. Bertho

$176.47

FBR for short quarter of individual status

$ 0.00

Countable income

$176.47

Payment amount for the short quarter

If on February 11, 1982, Mr. and Mrs. Bertho resume living together in their own household the computation is:

Individual Status Short Quarter of January 1982

Mr. Bertho

$ 25.00

FBR

$ 0.00

Countable income

$ 25.00

Payment amount for the short quarter

Mrs. Bertho

$176.47

FBR

$ 0.00

Countable income

$176.47

Payment amount

Couple Status Short Quarter of February-March 1982

$794.00

FBR for short quarter of couple status

$676.16

Countable income ($76.16 in-kind support to one member of couple in partial month of living in another's household plus $640 pension = $716.16 less $40.00 (general exclusion for two months) = $676.16

$117.84

Short quarter payment amount

$ 58.92

Monthly payment amount to the couple

$ 29.46

Monthly payment amount to each member

2. One Member of a Couple Goes From L/A A to L/A D the Other Member Goes from L/A A to L/A B within a quar­ter. The computations in SI 02009.030 apply. (Example 2)

Mr. and Mrs. Garp are an eligible couple in their own household. On January 11, 1982, Mrs. Garp goes to live with her mother. She makes no contribution to the house­hold expenses and is determined to be receiving in-kind support and maintenance. On February 7, Mr. Garp en­ters a nursing facility and Medicaid begins to pay over 50 percent of the cost of his care. The living arrangement sta­tus is as follows:

 

Mr. Garp

Mrs. Garp

January

A

A (month of change)

February

A (month of change)

B

March

D

B

Mr. Garp receives an employment related pension of $160 per month. Mrs. Garp receives title II benefits of $130 per month.

Couple Status Short Quarter of January/February 1982

$794.00

FBR for the short quarter of couple status

$616.16

Countable income ($76.16 for partial month Mrs. Garp in household of another­ plus $160x2plus $130x2=$656.l6 less $40.00 (general exclusion for two months) = $616.16

$177.84

Short quarter payment amount

$ 88.92

Monthly payment amount to the couple

Computation for February 1982

Mr. Garp

$ 88.92

Multiplied by 2/3

$ 59.28

Monthly payment amount for February

Mrs. Garp

$ 88.92

Multiplied by 1/3

$ 29.64

 

$ 66.16

Countable income (in-kind support and maintenance)

$ 0.00

Monthly payment amount for February

Individual Status Short Quarter of March 1982

Mr. Garp

$ 25.00

FBR for short quarter of individual status

$140.00

Countable income ($160- $20) general exclusion for one month

$0.00

Payment amount for the short quarter

Mrs. Garp

$176.47

FBR for short quarter of individual status

$110.00

Countable income ($130- $20) general exclusion for one month

$ 66.47

Payment amount for the short quarter


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0502009045
SI 02009.045 - Both Members of an Eligible Couple Change to Different Living Arrangements Within a Quarter - 11/27/2002
Batch run: 01/27/2009
Rev:11/27/2002