To do so, it would simply need to amend its Medicaid state plan, which is essentially the state's blueprint for operating its Medicaid program. This exclusion would reduce the amount of money affected individuals would have to spend-down to qualify for assistance.
Federal law requires that such a policy change apply to everyone in the medically needy group.
In Connecticut, this would include blind and disabled, as well as elderly people. To qualify for Medicaid, an applicant must meet the income and asset rules for the category of assistance for which he is applying. These include payments made for the care of foster children in the applicant's custody. The regulations also require the exclusion of payments that support or reimburse seniors who volunteer their time in a variety of capacities. Income earned from Title V activities is not excluded, as it is not one of those that federal law mandates.