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June 2021

S95/S99—EMS S95/S99—ImpaCT

2540.96

HUSKY C MN Aged, Blind, Disabled

• Meet the MAABD categorical requirements of age, blindness, or disability • Not qualified as categorically needy • Either over MN income or excess income absorbed by medical bills • Meets asset criteria

EDG will cascade to this group if not CN Use MNIL, MAABD asset limit, MAABD deeming rules, and spend down process

Begins when spend down is met

Continues through the end of six- month period

T01—EMS T01—ImpaCT

2540.60

HUSKY A Long Term Care Facility Residents Under Special Income Limit (T01)

• Long term care residents for over 30 consecutive days AND • Income within a special income level AND • Meet any of the following criteria: - under 21 years of age OR - caretaker relatives, i.e. (living with dependent child of acceptable degree of relationship) OR pregnant women

Compare individual’s gross income to the Special Categorically Needy Income Limit (CNIL) 300% of SSI maximum

Use AFDC asset limit Begins with the 1st day of the 30 days of continuous residency for as long as the resident meets requirements T99

2540.60 2540.60P 2540.88

HUSKY A MN Family Medical LTCF Residents

• Same as T01, but income is greater than CNIL • T01 will cascade to this group if not CN

Same as T01 W01—EMS W01—ImpaCT

2540.92

HUSKY C Individual Receiving Home and Community Based Services (CN)

• Would be eligible for MAABD if residing in a LTCF, AND • Qualify to receive home and community based services (HCBS), AND • Would require LTCF placement without such services

Compare the individual’s gross income to the special CNIL (300% SSI) - must be less

Use AABD asset limit (currently $1,600).

Special asset rules apply if spouse resides in community

EDG considered “institutionalized,” so no deeming from spouse

As long as group conditions are met and waiver services received W99—EMS W99—Code not used in ImpaCT Code on EMS, but not a legitimate coverage group, as there is no spenddown provision for HCBS cases.

NOTE: If over income for W01, would be M03 or individual would need to set up a pooled trust with the Plan of CT

N/A N/A