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MEDICAL SERVICES POLICY MANUAL,SECTION O O-100 Medically Needy Program O 168 Exceptional Medically Needy Duration of Eligibility
O-168 Exceptional Medically Needy Duration of Eligibility MS Manual 01/01/14 With date specific eligibility, an individual’s or family’s eligibility for exceptional Medically Needy may begin or end on any day of a month (Re. MS O-731). When found eligible, the certification period will begin on the day application was made, unless retroactive coverage is needed. If retroactive coverage is needed and if eligibility is established, the certification period may begin up to 3 months prior to the date of application (but not on the first day of a retroactive month, unless application was made on the first day of a month). Exceptional Medically Needy eligibility continues until terminated at reevaluation or by reported changes that affect client eligibility. Any changes affecting eligibility must be reported within 10 days so that the caseworker can initiate necessary case action(s). Termination of benefits does not affect the client’s right to make subsequent applications.
O-170 Medically Needy Category Designations at Certification MS Manual 01/01/14 Medically Needy cases are certified as one of the following categories:
Category Description AA(EC) AA categorically related with income not greater than the MNIL. (see note below) AA(SD) AA categorically related with income greater than the MNIL AFDC(EC) AFDC categorically related with income not greater than the MNIL. AFDC(SD) AFDC categorically related with income greater than the MNIL. AB(EC) AB categorically related with income not greater than the MNIL. (see note below) AB(SD) AB categorically related with income greater than the MNIL AD(EC) AD categorically related with income not greater than the MNIL. (see note below) AD(SD) AD categorically related with income greater than the MNIL. U-18(SD) Under 18 categorically related with income greater than the MNIL PW (EC) Pregnant women with income not greater than the MNIL. PW (SD) Pregnant women with income greater than the MNIL. UP(EC) Unemployed Parent categorically related with income not greater than the MNIL UP(SD) Unemployed Parent categorically related with income greater than the MNIL. RMA(EC) Refugee under special eligibility period with income not greater than the MNIL.