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MEDICAL SERVICES POLICY MANUAL, SECTION B

B 300 Aid to the Aged, Blind and Disabled (AABD) Eligibility Groups

B-312 Living Choices MS Manual 01/01/22 This group consists of individuals in licensed Level II Living Choices who are sixty-five (65) years of age or older, or twenty-one (21) years of age or over and blind or have a physical disability as established by SSI/SSA or by the DHS Medical Review Team (MRT) or by Railroad Retirement. Living Choices Services are provided to eligible individuals to allow them to maintain their independence and dignity while receiving a high level of care and support. Living Choices coverage is provided to individuals who meet both categorical eligibility and medical necessity requirements. 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 thousanddollars ($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. B-313 ARChoices in Homecare Refer to Health Care Procedures manual for more information. MS Manual 01/01/22 This group consists of individuals twenty-one (21) years of age or over. Individuals twenty-one (21) through sixty-four (64) years of age must have a physical disability according to SSA/SSI guidelines, Railroad Retirement, or the DHS Medical Review Team (MRT). Services under ARChoices may be provided to individuals who meet both categorical and functional need requirements including requiring an intermediate level of care designation as determined by the Office of Long Term Care (OLTC). The individual’s income cannot exceed three (3) times the 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. Recipientsof ARChoices receive the full range of Health Care benefits and services. However, the individual must accept the Waiver services provided by the program. NOTE: Recipients of Health Care in the Workers with Disabilities group will be able to access services under ARChoices provided the functional needcriteria for ARChoices have beenmet as well as the financial criteria of the Workers with Disabilities group.