Ohio Admin. Code 5160:1-3-03.7 - Medicaid: treatment of sick pay and sick leave
(A) The purpose of this rule is to set forth
the treatment of sick pay and sick leave for eligibility for medical
assistance.
(B) Definitions.
(1) "Sick pay" means a payment made to or on
behalf of an employee by an employer or a private third party for sickness or
accident disability.
(2) "Sick
leave" means a paid absence from duty for personal or family medical reasons
and is considered a continuation of
salary.
(C) Treatment of
sick pay.
(1) Sick pay is treated as earned
income (wages)when the individual receives sick
pay within six months after stopping work and the income is not attributable to
the employee's own contributions toward a sick pay plan.
(2) Sick pay is treated as unearned
incomewhen:
(a)
The individual receives sick pay within six months afterthe individual stops working and the income is
attributable to the employee's own contributions toward a sick pay plan;
or
(b) The individual receives sick
pay more than six months after stopping work.
(3) To determine the six months' period
afterthe individual stops working:
(a)
Begin with the
first day of non-work;
(b)
Include the remainder of the calendar month in which
work stops; and
(c)
Include the next six full calendar
months.
(D) Treatment of sick leave.
(1) Sick leave payments are treated as earned
income.
(2) Sick leave that is
donated to the individual is treated the same as if itwas the individual's own leave.
Notes
Promulgated Under: 111.15
Statutory Authority: 5160.02, 5163.02
Rule Amplifies: 5160.02, 5163.02
Prior Effective Dates: 09/01/1994, 01/25/2015, 08/01/2016
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(A) The purpose of this rule is to set forth the treatment of sick pay and sick leave for medicaid eligibility for medical assistancedeterminations.
(B) Definitions.
(1) "Sick pay" means a payment made to or on behalf of an employee by an employer or a private third party for sickness or accident disability.
(2) "Sick leave" means a paid absence from duty for personal or family medical reasons and considered a continuation of salary.
(C) Treatment of sick pay.
(1) Sick pay is treated as earned income (wages) if the individual receives sick pay within six months after stopping work and the income is not attributable to the employee's own contributions toward a sick pay plan.
(2) Sick pay is treated as unearned income if:
(a) The individual receives sick pay within six months after stopping work and the income is attributable to the employee's own contributions toward a sick pay plan; or
(b) The individual receives sick pay more than six months after stopping work.
(3) To determine the six months' period after stopping work, begin with the first day of non-work, include the remainder of that calendar month, and include the next six full calendar months.
(D) Treatment of sick leave. Sick leave payments are treated as earned income. Sick leave that is donated to the individual is treated the same as if it were the individual's own leave.
(1) Sick leave payments are treated as earned income.
(2) Sick leave that is donated to the individual is treated the same as if it were the individual's own leave.
Notes
Promulgated Under: 111.15
Statutory Authority: 5160.02, 5163.02
Rule Amplifies: 5160.02, 5163.02
Prior Effective Dates: 9/1/94, 1/25/15