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June 2021
F99—EMS F99—ImpaCT
2540.57
HUSKY A Medically Needy Children under 21 and Caretaker Relatives who are over the MNIL (Spenddown - over MNIL) Use MN income/asset limits, deeming rules, and spenddown process • Includes children who are under 21 years of age • Caretaker relatives are also included if they: Live with a dependent child and are within the acceptable degree of relationship - have a dependent child under 19 (not 21 even though EMS may allow) - are not categorically needy AND meet medically needy income/asset tests. - No deprivation requirement - Parents disqualified from TFA (for non-Medicaid requirement) with income> CNIL and meet medically needy income and asset criteria ➢ Caretaker relatives - screen as F07, and code children as OC
If EDG is inactive status, keep child on spenddown EDG because they're not actively receiving Medicaid
If spenddown case gets activated ("A") status, • close HUSKY B (refer) and open HUSKY A
Use MN income/asset limits, deeming rules, and spenddown process
Deeming is limited to parent-to-child and spouse to spouse. Disregard: $90/employed person $50/ from child support Childcare disregard—no limit
Assets— $2000 for one person $3000 for two people Add $100 for each additional member. Use asset Supplemental form if asset information is needed. As long as requirements are met
Review spenddown every 6 months
G02 (Pre-MAGI) --EMS G02 (Pre-MAGI)—Code not used in ImpaCT
Repealed 01/01/14 CGS 17b 261n HUSKY D Medicaid LIA ( Low Income Adult) Replaces SAGA medical eff 4/1/10
For individuals and married couples who are: • Under age 65 • SSI recipients (including individuals with 1619(a) or (b) or 1905(q) status); • Not Medicare recipients • Not Pregnant • Children over 19
Income test= MNIL for AU size
No asset test Indefinitely, as long as individual meets income test and does not meet categorical requirements for listed MA coverage groups (S, P, HUSKY tracks)
*** G02 is replaced by X02