2507 Spouse to Spouse Deeming

Georgia State Seal

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Spouse to Spouse Deeming

Effective Date:

February 2020

Chapter:

2500

Policy Number:

2507

Previous Policy Number(s):

MT 51

Updated or Reviewed in MT:

MT-58

Requirements

Spouse to spouse deeming is completed when an individual residing in LA-A or B with his/her spouse applies for or receives ABD Medicaid as a Medicaid individual with an ineligible spouse.

Basic Considerations

A spouse to spouse deeming budget is completed for a Medicaid individual who is residing in LA-A or B with his/her ineligible spouse and whose ABD Medicaid eligibility is determined under the following classes of assistance (COAs):

  • SSI (3 months prior or intervening months)

  • Public Law Classes, including Disabled Widow(er) and Disabled Adult Child (DAC)

  • ABD Medically Needy (AMN)

  • QMB

  • QDWI

  • SLMB

Effective July 1, 2016 the couple income and resource limit for the individual and the individual’s spouse will be used whether or not the spouse is applying (Medicare Eligible) for the QI1 COA.

Procedures

Refer to Section 2502, Deeming, for additional information on when to complete Spouse to Spouse Deeming.

Enter the appropriate information in the computer system to allow the system to budget correctly.

OR

Follow the instructions with Form 172 to manually complete a Spouse to Spouse Deeming budget. Refer to Appendix F, Forms.