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June 2021
S01—EMS S01—ImpaCT
2540.72
HUSKY C Recipients of AABD (CN)
• Receiving cash payments • Meet categorical requirements of age, blindness or disability • Coverage group includes Individuals reduced to a zero-payment due to recoupment of overpayment
State Supplement Program in CT - Basic Eligibility Use AABD income and asset criteria. 5515.05 Deem from spouses: 5020.70 & 4025.55
Continues as long as AABD eligibility exists S02—EMS S02—ImpaCT
2540.80 HUSKY C AABD Eligible Non-Recipients (CN)
• Would qualify for AABD but choose not to • “Pride” cases Use AABD income and asset level. Deem from spouses
For every month for which they would qualify for AABD S03--EMS S03--ImpaCT
2540.84
HUSKY C Eligible for AABD Except for Non-Medicaid Requirement (CN) such as:
• For individuals who do not have a source of income (a requirement for AABD) People found disabled by Colonial Cooperative Care generally receive S03 sometimes with SAGA cash • Requirement to assign interest in a decedent estate • Requirement to sign a security mortgage on non-home property • Requirement that income and assets be deemed to an alien from sponsor
AABD income and assets, except for deeming of sponsors’ income and assets Indefinitely, as long as the sole reason the individual does not qualify for AABD is failure to meet the AABD requirements specifically prohibited by Medicaid
S04—EMS S04—ImpaCT
2540.76
HUSKY C Severely Impaired (CN) Individuals who:
• Either receives SSI under 1619(a) status or SSD under 1619(b) status AND • Qualify for MAABD in the month immediately preceding the designation of 1619(a) or (b) status • 1905q status meaning they were on AABD the month prior to losing cash due to earnings Need not pass any income or asset test apart from those administered by SSA
Identify AU as 1619 on bottom of UINC screen in EMS. Load income source code (ex. SI). STAT - load “S” if 1619(a), “B” if 1619(b)
Continues as long as qualified for 1619(a) or (b) status with Social Security or 1905q status with DSS
S05—EMS S05—ImpaCT
2540.85
HUSKY C Working Disabled
For individuals with disabilities whose income and assets exceed MNIL usually resulting in Spenddown Must: • Have a job receiving pay stubs • If self-employed must have account with SSA and pay into it • Must fail S01 through S04 first • If client loses a job and was on S05 then they are eligible to receive 12 months while looking for another job
• Income Test <$75,000 yearly • Family Income Test – under 250% of FPL • Asset Test: $10,000 for individual and $15,000 for couple • Individuals with income over 200% of FPL may have to pay a premium
Med-Connect Deskguide