469 NAC 2-010.01B2a
For budgeting, the gross amount of RSDI is used; the gross amount is the RSDI benefit with no Medicare premium deducted and rounded down to the nearest whole dollar.
Exceptions: Certain specified groups of individuals retain Medicaid eligibility without regard to required receipt of Social Security benefits because they are considered to be receiving SSI.
1. Disabled Early Widow(er)s/COBRA Widow(er)s who meet all the following requirements:
a. Lose SSI due to mandatory receipt of Title II widows benefits;
b. Are not yet eligible for Medicare Part A;
c. Are at least age 50, but not yet age 65; and
d. Would continue to be eligible for SSI benefits if they were not receiving the Title II benefits;
2. Disabled Adult Children (DAC)/Childhood Disability Beneficiaries (CDB) who meet all the following requirements:
a. Lose SSI or 1619(b) after 11/10/1986 (Public Law 99-643) due to mandatory receipt/increase of Title II benefits on a parent's record due to retirement, death, or disability of a parent;
b. Are over the age of 18;
c. Whose blindness or disability began before the age of 22; and
d. Would continue to be eligible for SSI (including the SSI resource standard) if they were not receiving the Title II disabled adult child's benefits;
3. Section 503/Pickle Amendment Group who meet all the following requirements:
a. Currently receiving Title II;
b. Lost SSI/SSP but would still be eligible for those benefits if the total amount of the Title II cost-of-living increases received since losing SSI/SSP benefits while also entitled to Title II benefits was deducted from income Cost-of-living increases include the increases by the individual, spouse or financially responsible family member; and
c. Was eligible for and receiving SSI or a State supplement concurrently with Title II for at least one month after April 1, 1977.
4. Disabled Widow(er)s/Additional Reduction Factor (ARF) Widow(er)s who meet all the following requirements:
a. Have a disability;
b. Were receiving SSI/SSP benefits in December, 1983 and lost SSI/SSP benefits in January 1984 due to a statutory elimination of an additional benefit reduction factor for widow(er)s before attainment of age 60 who have been continuously entitled to widow(er)s insurance based on disability since January 1984;
c. Applied for benefits under this group no later than July 1, 1988; or the later date for 209(b) States established under the court order in Darling v. Bowen, 685 F.Supp. 1125; and
d. Would continue to be eligible for SSI/SSP benefits if he or she had not received the increase in Title II benefits.
{5/26/12}