Use of MC 176W, Allocation/Special Deduction Worksheet-A

Calculate:

Allocations to excluded children.
The amount of SSI/SSP income deemed available.
An allocation from a person in board and care to the spouse and/or children at home.
An allocation from an ABD MN LTC person with no community spouse to children at home.
AFDC-MN/MI earned income deductions.
DO NOT USE Section V. of the MC 176 W to do a stepparent calculation, effective 4/1/91, due to the Sneede v. Kizer lawsuit. Use the “Stepparent Computation” (MC 176 W.1) to determine property and income.
ABD income deductions.

Note: Only those portions of the form that are applicable to the case should be completed. Unused sections should be crossed out.

MC 176W-Allocation/Special Deduction Worksheet-A

Part I. Children with Separate Income or Property Excluded from the MFBU

This portion of the form is completed whenever a child(ren) over two months of age with separate income or property is excluded from the MFBU. Part I is used to determine if the excluded child has enough income to meet his/her needs. If not, an allocation from the family's income towards the excluded child's unmet needs is made. This allocation is an income deduction on the parent's budget, entered on Column III, line 5 of the MC 176M.

Part II. SSI/SSP or IHSS Recipient(s) in Family - Income Available/Allocated

This portion of the form is completed when a family member receives an SSI/SSP grant or IHSS. This person is not included in the MFBU but a computation must be made to determine how much of the family's income was used to calculate the SSI/SSP grant or IHSS eligibility.

Note: When an SSI/SSP person is receiving a full SSI/SSP grant amount according to his/her living situation, no allocation from the family has been made and it is not necessary to complete this section.

Part III. Allocation from Board and Care Person to Spouse and/or Children at Home, or from LTC Person with No Community Spouse to Children at Home

Do not complete this section for family members who receive PA. Do not complete this section when the ABD-MN person has a community spouse. Complete the MC 176WB, Parts VII through X if the ABD-MN person with LTC status has a community spouse.

Part IV. AFDC-MN/MI Earned Income Deductions

This portion of the form is completed when deductions are allowed from the gross earned income of AFDC-MN/MI persons in the MFBU.

Part V.

Due to the Sneede v Kizer lawsuit, effective 4/1/91 DO NOT USE this form for stepparent budgeting when MC is requested for only the separate child(ren) of one parent. Use the “Stepparent Computation” (MC 176 W.1) to determine property and income.

Part VI. Aged, Blind, and Disabled (ABD) Income Deductions

This portion of the form is used only in conjunction with the MC 176M and is completed only when any of the following deductions apply to a person’s income (listed in Column I, MC 176M):

Educational Expenses
Absent Parent Support
Student Deduction
Work Experience for the Blind
Income for Self-Support
Conservator/guardian fees (not allowed from Title II disability benefits