- The Medicare Part A recipient AND
- If the Medicare Part A recipient is an alien, the income of the alien's sponsor and the sponsor's spouse if the spouse lives with the sponsor is included AND
- The spouse who is living in the home and is a Medicare Part A recipient AND
- If the spouse is an alien, the income of the alien's sponsor and the sponsor's spouse if the spouse lives with the sponsor is included
Exception: SSI recipients are not included.