Revision 15-4; Effective December 1, 2015

 

All regular non-financial MEPD policies apply to MBI, except those specifically identified in this chapter.

Non-financial requirements apply only to an MBI applicant/recipient, even if there are other household members.

 

M-3100 Age

Revision 11-4; Effective December 1, 2011

 

MBI has no age limit.

 

M-3200 Disability

Revision 13-3; Effective September 1, 2013

 

An applicant/recipient must meet the Supplemental Security Income (SSI) definition of disability. If an applicant/recipient has not had a disability determination made by the Social Security Administration (SSA), use HHSC's Disability Determination Unit for disability determination. Follow regular MEPD policy for disability determinations. The disability requirement includes those individuals age 65 or older.

The MBI program allows an exception to the requirement that the person be unable to engage in any substantial gainful activity (SGA). For purposes of MBI, a person who is able to engage in SGA still might meet disability requirements because SGA is disregarded in deciding whether the person meets the definition of disabled for MBI.

SGA limits are subject to change annually. See Appendix XXXI, Budget Reference Chart, for current limits.

 

M-3300 Household of One

Revision 15-4; Effective December 1, 2015

 

Being a household of one means an applicant/recipient is not penalized for assets owned by the spouse. For example, if one member of a couple applies for the MBI program, only the assets of the applicant are considered when determining eligibility for the program. If both an applicant/recipient and spouse own the asset, only half of the asset is considered owned by each spouse. If the person applying for the MBI program is a minor and lives with his or her parents, the assets of the parents are not considered the minor's assets. Consider an MBI recipient/applicant a household of one, regardless of the living arrangement or age. Do not deem income or resources. Do not consider support and maintenance. If an applicant lives with a spouse who is eligible for Medicaid, the applicant and spouse are each considered a household of one.