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MEDICAL SERVICES POLICY MANUAL,SECTION O O-100 Medically Needy Program O 130 Medically Needy Group Designations
5. Persons incarcerated under the penal system who have been charged with or found guilty of a criminal offense; this includes children under age 18 who are under the jurisdiction of the juvenile justice system and who are detained in juvenile detention centersorother alternative placements such as wilderness or boot camps. A person will be considered incarcerated or detained under the penal system until the indictment is dismissed or he is released from custody as not guilty or for some other reason (e.g. bail, parole or pardon). A person on furlough is still considered under custody of the penal system. Exception: An inmate in the custody of the Arkansas Department of Corrections or the Department of Community Corrections who has been admitted to and received treatment at an inpatient facility may be eligible for a Medicaid payment provided all eligibility requirements are met. Income, resources and categorical eligibility will be determined in accordance with MS E-110. Only the income and resources of the applicant will be considered. Individuals who may be eligible for the Medically Needy Program are: 1. Those who are categorically related to Parents/Caretaker Relatives, ARKids, or SSI; and 2. Those who meet the income and resources criteria of the Medically Needy Program.
O-130 Medically Needy Group Designations MS Manual 01/01/14 The two types of coverage within the Medically Needy Program are Exceptional Medically Needy (EC) and Spend Down Medically Needy (SD).
O-131 Exceptional Medically Needy MS Manual 01/01/14 The Exceptional Medically Needy are those individuals or families whose income is within the Medically Needy Income Level and whose resources fall within the specified limits of the Medically Needy Program. Eligibility for Exceptional Medically Needy continues as long as the individual or family meets the criteria for categorical relatedness and the income and resource requirements of the Medically Needy program. Reevaluations are requiredevery twelve months. The date for the initial reevaluation is counted from the date of case certification.