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<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.41.04" title_num="10" subtitle_num="09" chapter_num="41" heading="Financial Eligibility.">
  <paragraph num="A.">
    <text>Assistance Unit. An applicant's or recipient's assistance unit shall include the:</text>
    <paragraph num="(1)">
      <text>Applicant or recipient; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Applicant's or recipient's spouse when living in the same household, whether or not the spouse is eligible for the same benefits under this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Consideration of Income.</text>
    <paragraph num="(1)">
      <text>Except as provided in §B(2) or C of this regulation, the Department shall determine, in accordance with the policies and procedures for aged, blind, or disabled coverage groups specified at COMAR 10.09.24, the countable net income of an EID applicant or participant for purposes of determining the applicable premium amount under Regulation .07 of this chapter.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To determine the countable net income of an EID assistance unit, the Department shall subtract from the assistance unit's total gross income:</text>
      <paragraph num="(a)">
        <text>The general income exclusions and disregards and the specific income exclusions and disregards for aged, blind, or disabled coverage groups specified at COMAR 10.09.24; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An amount equal to the applicant's, recipient's, or spouse's documented out-of-pocket cost of premium payments to secure current employer-sponsored insurance coverage that includes coverage of the applicant or recipient.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>As a condition of eligibility for Medical Assistance benefits under this chapter, unless good cause for not doing so is shown, applicants and recipients, shall take all necessary steps to obtain any annuities, pensions, retirement, and disability benefits to which they are entitled, including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Veterans' compensation and pensions;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Old Age and Survivors' Disability Insurance (OASDI) benefits;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Railroad retirement benefits;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Unemployment compensation; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Social Security Disability Income (SSDI).</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Income Standards. Effective January 1, 2024, no income standard applies to applicants or participant under this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Consideration of Resources.</text>
    <paragraph num="(1)">
      <text>Except as provided in this section, whether an applicant meets the resource standards for eligibility for the EID coverage group shall be determined according to the policies and procedures for aged, blind, or disabled coverage groups specified in COMAR 10.09.24.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To determine the total countable resources of an applicant, the Department shall apply the general resource exclusions and specific resource exclusions for aged, blind, or disabled coverage groups specified in COMAR 10.09.24 to the total gross resources of the applicant.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>From the total countable resources of the applicant determined pursuant to §C(1) and (2) of this regulation, the Department shall subtract the aggregate current cash value of the applicant’s or participant’s ownership interest in any of the following types of accounts:</text>
      <paragraph num="(a)">
        <text>401(k) retirement account;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>403(b) retirement account;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Pension plan;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Keogh plan;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Individual retirement account (IRA);</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Independence Account; or</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Other retirement accounts as defined by the IRS.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>For an applicant or participant to be eligible for Medical Assistance benefits under this chapter, the countable resources attributed to the applicant’s or participant’s assistance unit pursuant to §§C and D of this regulation may not exceed $10,000 for an individual.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Independence Accounts.</text>
    <paragraph num="(1)">
      <text>Account Provisions.</text>
      <paragraph num="(a)">
        <text>Contributions to any of the participant’s registered Independence Accounts are subject to the rules described in this section and to any policies of the respective financial institution governing the account.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>All contributions to the participant’s Independence Account or accounts, including interest, dividends, or other gains from the principal, shall be treated as an exempt asset for the purpose of calculating eligibility for Medical Assistance and the EID program.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The purpose of an Independence Account is to allow the participant to purchase any items or services that may aid in the participant’s pursuit of personal or financial independence.</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The EID participant shall be the sole owner of any account registered as an Independence Account.</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The Department shall assess the participant’s Independence Account as a part of the verification process at redetermination for Medical Assistance. The review process shall include verifying all contributions to the participant’s Independence Account with the financial institution holding the participant’s account.</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The total amount a participant deposits in all independence accounts during an annual certification period may not exceed the participant’s gross earned income for that annual certification period.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Independence Account Registration.</text>
      <paragraph num="(a)">
        <text>A person shall complete an account registration form to register an applicable account as an Independence Account with the Department.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A person shall re-register the Independence Account with the Department if the financial institution or other information for the Independence Account changes.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The applicant or participant shall report any changes in personal or financial status that may affect the applicant’s or participant’s eligibility for Medical Assistance as described in COMAR 10.09.24.</text>
      </paragraph>
      <paragraph num="(d)">
        <text>For all registered Independence Accounts, the date of account creation may be no earlier than the date an EID participant is determined eligible for Medical Assistance under this section.</text>
      </paragraph>
      <paragraph num="(e)">
        <text>For all registered Independence Accounts, the funds in the Independence Account shall be held separate from the participant’s non-exempt assets.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>