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MEDICAL SERVICES POLICY MANUAL, SECTION B
B 300 Aid to the Aged, Blind andDisabled (AABD) Eligibility Groups
B-300 Aid to the Aged, Blind and Disabled (AABD) Eligibility Groups
MS Manual 07/01/20 The AABD Eligibility Groups are categorized below under Long Term Services and Supports, Medicare Savings Program, Workers with Disabilities, and Supplemental Security Income (SSI)/SSI related groups. A brief description follows.
B-310 Long Term Services and Supports MS Manual 01/01/22 The Long Term Services and Supports group provides coverage to eligible individuals in nursing facilities, home and community-based waivers, and the PACE program. Home and community- based waivers and PACE community programs provide non-institutional Long Term services and supports to individuals as an alternative to institutionalization. Individuals eligible for waiver and PACE services must be potentially eligible for admission to a nursing facility.
B-311 Nursing Facility MS Manual 01/01/22 This group consists of individuals who are aged, blind, or have disabilities and are living in a Long Term Care Facility including an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID). Nursing Facility coverage is provided to individuals who meet both categorical eligibility and medical necessity requirements. Refer to MS F-150-151. The individual’s income cannot exceed three (3) times the current SSI payment standard. However, individuals with income over the limit may be eligible if they have established an income trust. Refer to MS H-110. The individual’s resources cannot exceed two thousand dollars ($2000) and a couple’s resources cannot exceed three thousand dollars ($3000). NOTE: Refer to MS E-500 for resources and MS H-200-MS H-430 for spousal rules. NOTE: A period of ineligibility will be imposed for uncompensated transfers. Refer to the MS H- 300 section.
In addition to facility vendor payments, nursing facility eligibles receive the full range of Health Care benefits and services with the following exception: