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MEDICAL SERVICES POLICY MANUAL,SECTION O O-100 Medically Needy Program O 142 Parents/Caretaker Relatives Medicaid Eligibility

EXCEPTIONS FOR THOSE WITH INCOME/RESOURCES WITHIN SSI PAYMENT LIMITS: a. Retroactive eligibility will be determined for individuals whose SSI eligibility cannot be completed, i.e., deceased persons, etc. b. Individuals in a Medicaid (non-LTC) institution who are subject to the $30.00 SSI countable income limit instead of the SSI full payment limit, with countable income greater than $30.00 but less than the MNIL, may be eligible as Medically Needy. c. Individuals with disabilities with income and resources under the SSI limit may be found eligible for Medically Needy if one or more of the conditions listed at MS F- 120 exist. 3. If an individual’s countable income is above SSI limits and his resources are within the Medically Needy limits, the individual (or family) will be considered for Spend Down Medically Needy eligibility.

O-142 Parents/Caretaker Relatives Medicaid Eligibility MS Manual 01/01/17 Parents/Caretaker Relatives (PCR) Medicaid Eligibility: 1. An individual receiving PCR Medicaid is already eligible for Medicaid and need not apply for the Medically Needy Program. 2. An individual who seems likely to be eligible for PCR Medicaid may make an application. 3. An individual denied or apparently not eligible for PCR Medicaid will be considered for Medicaid eligibility under the Adult Expansion Group and if not eligible under this group, as AFDC Exceptional Medically Needy and, if not eligible under this group, as AFDC Spend Down Medically Needy.

O-143 Under 18 Category Related Eligibility MS Manual 01/01/14 Under-18 Category Related Eligibility: 1. An individual receiving services under the ARKids category is already eligible for Medicaid and need not apply for the Medically Needy Program. 2. An individual who seems likely to be eligible for the U-18 category may make an application.