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Count blind people under the medically needy disabled group (42 CFR 435.322), and sum medically needy income and resources over the individual or married couple, choosing the couple limits from the marital unit (42 CFR 435.602). Fixes PolicyEngine#10366 Fixes PolicyEngine#10367 Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
This was referenced Oct 21, 2026
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Closes #10366
Closes #10367
What and why
Two formula fixes in the Medicaid medically needy pathway.
is_in_medicaid_medically_needy_categorycheckedis_ssi_disabledbut neveris_blind, so a blind adult under 65 who is not SSI-disabled could not qualifyis_blindcounts under the existingdisabledflagtax_unit_is_jointBlind under the disabled flag. The
disabledparameter cites KFF's 50-state survey, whose medically needy column covers "seniors and people with disabilities" and counts blindness as a disability. KFF never reports blind coverage separately, so this PR adds noblindparameter.Marital unit. Non-MAGI Medicaid counts only the income and resources of a spouse, or of a parent for a child.
ssi_countable_incomealready carries a child's deemed parental income, an ineligible spouse's deemed income, and each half of an eligible couple's combined income. The optional aged, blind and disabled pathway already sums over the marital unit in the same way (is_optional_senior_or_disabled_income_eligible,medicaid_optional_senior_or_disabled_income_limit).The couple flag keeps its name,
is_joint, so that the income-limit lines stay untouched. The open work on #10357 and #10358 rewrites those lines, andgit merge-filemerges the two versions cleanly in either order.Examples
Massachusetts, 2026: $522 / $650 a month and $2,000 / $3,000 in resources.
mainMicrosimulation effect
Relation to #10240
A local review of #10240 flagged the tax-unit sum (once that PR counts noncitizens' income, an aged dependent's pension removes the filer's eligibility). This PR fixes it, so #10240 need not. Both PRs append cases to
is_medically_needy_for_medicaid.yamlas Cases 3 and 4, so whichever merges second renumbers its cases.Limitations
is_jointuses the couple limits whenever the person is married and living with their spouse, whether or not the spouse is aged, blind or disabled. This matches the optional pathway.Tests
is_in_medicaid_medically_needy_category.yaml: a blind adult in Massachusetts (in the group) and in Texas, which has no disabled group (not in a group).is_medically_needy_for_medicaid.yaml: the filer with a dependent parent, and the couple filing separately (both examples above).tests/policy/baseline/partners/**) are unaffected; their multi-person aged and disabled cases are in Texas, which has no medically needy aged or disabled group.Test plan
make format(ruff)changelog.d/🤖 Generated with Claude Code