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MEDICAL SERVICES POLICY MANUAL,SECTION O

O 440 Medically Needy SSI (AABD) Categorical Relatedness

O-440 Medically Needy - SSI (AABD) Categorical Relatedness MS Manual 01/01/14 Individuals will meet the following SSI (AABD) factors of eligibility to be certified as AABD- Medically Needy. 1. Categorical eligibility by reason of “age”, “blindness” or “disability”. a. “Aged” is defined as 65 years old or older. b. “Blindness” is defined as central visual acuity of 20/200 or less with best correction or a limited visual field of 20 degrees or less in the better eye (Re. MS F-120). c. “Disability” is defined as a physical or mental impairment which prevents the individual from doing any substantial gainful work (for a child under 18, an impairment of comparable severity) and which has lasted or is expected to last for at least 12 months or is expected to result in death (Re. MS F-120). 2. Citizenship or Alien Status Requirement (Re. MS D-200). 3. Residence Requirement (Re. MS D-300). 4. Social Security Enumeration Requirement (Re. MS D-400). 5. Assignment of rights to Medical Support/Third Party Liability requirement (Re. MS D- 500). 6. Cooperation in Child Support Enforcement Activities (Re. MS F-130). 7. Countable income equal to or greater than SSI payment limitations (Re. MS O-141 for exceptions). 8. SSI Countable Resource Limitations and Resource Treatment (countable resource limits are: $2,000 for an individual and $3,000 for a couple “living together”, one or both eligible. Re. MS O-600 for resource levels). Methods of verification used for AABD Long Term Care cases apply to the AABD Medically Needy. Procedures used for verification of categorical relatedness is covered under MS G-100 through MS G-180; citizenship and alien status are covered under MS G-130; resource limitations and treatment are covered under MS E-500 through MS E-530; and computation of income is covered under MS E-400 through MS E-450.