Connecticut Department of Social Services Uniform Policy Manual: 2010.20 Family Medical Assistance Unit Requirements - Special Guidelines for Certain Medicaid Groups

CONNECTICUT DEPARTMENT OF SOCIAL SERVICESPRIVATE UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 7-1-94 Transmittal: UP-94-22 2010.20 ______________________________________________________________________________ Section: Type: Assistance Unit Composition POLICY ______________________________________________________________________________ Chapter: Program: FMA Family Medical Assistance Unit Requirements ___________________________________________________________ Subject: Special Guidelines for Certain Medicaid Groups ______________________________________________________________________________

2010.20 A. When a member of an assistance unit under certain Medicaid coverage groups is ineligible due to income deemed from a person outside the assistance unit who is neither a parent nor a spouse of the unit member, the assistance unit is separated into sub‑units. These coverage groups include the following:

1. Eligible for AFDC except for Non‑Medicaid Requirements;

2. Medically Needy Ribicoff Children;

3. Medically Needy Caretaker Relatives;

4. Children Under 185% of the Poverty Level (under age one);

5. Children Under 185% of the Poverty Level (between ages one and six);

6. Children Under 185% of the Federal Poverty Level (age six or older born after 9/30/83).

B. The original assistance unit is separated into sub‑units so that no member of the sub‑unit has income deemed to him or her from any person outside the assistance unit who is neither a spouse nor a parent.

C. Assistance units which are subdivided if inappropriate deeming causes ineligibility include, but are not limited to, those units containing:

1. children who reside with their parent and stepparent;

2. children who reside with their minor parent and grandparent;

3. non-citizens with sponsors who reside with other individuals who are not sponsored non-citizens.