A Reasonable Compatibility Examples

 

Programs

Manual Section

All programs, except ALTCS

MA605.1

 

1) Example - Income information is reasonably compatible

The customer is 40 years old. He is a single person applying for MA in January 2014. The customer lists income of $1,150 per month from his job on the application. The state hub shows average monthly income of $1,220 from the job. No other income is found by the state and federal hubs.

Under the Adult Group, the income limit for a budget group of one person is $1,274 per month. Since both sources of information show that his income is below the limit, the customer qualifies for MA no matter which source is used. The difference in the two amounts does not affect eligibility, so it is reasonably compatible.

 

2) Example - Income information is not reasonably compatible

The customer is also 40 years old and a single person applying for MA in January 2014. The customer lists income of $1,150 per month on the application from his job, but the state hub shows average monthly income from this job is $2,150. No other income is found by the state and federal hubs.

Under the Adult Group, the income limit for a budget group of one person is $1,274 per month. Since the customer says his income is low enough to qualify for MA, but the state hub shows his income is too high to qualify, he will need to provide proof of his current monthly income. The difference in the two amounts could affect eligibility, so it is not reasonably compatible.