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Chapter: 1400 Technical Requirements Program: MSSI, SFP 26 1440.0000 SSI-Related Medicaid, State Funded Programs The eligibility specialist must determine if each individual meets the appropriate requirements for the type of assistance requested. If the individual does not meet the applicable requirements, the individual is technically ineligible. The eligibility specialist must keep in mind that these factors will not always apply to all types of assistance. 1440.0006 SSI-Related Technical Factors (MSSI, SFP) The technical factors that may be considered are:
1. Citizenship/noncitizen status, 2. Social Security number, 3. Residency, 4. Aged, blind/disabled, 5. Level of care/appropriate placement, 6. Living arrangement, 7. File for other benefits, 8. Receipt of other benefits, 9. Assignment of rights for third party liability, 10. Medicare status, and 11. Receipt of institutional, hospice or home and community based services. 1440.0007 Medicaid - Technical Factors for ICP (MSSI) Any Medicaid eligible individual applying for institutional care or HCBS or PACE services must meet the following requirements:
1. level of care/appropriate placement, 2. requirement to file for other benefits, and 3. transfer of assets provisions. 1440.0008 Additional Criteria - HCBS Waivers (MSSI) The individual must also meet additional program specific criteria that vary according to the Home and Community Based Services (HCBS) Program waiver type.
For Familial Dysautonomia Waiver(FD/HCBS) individuals must:
1. be age three or older (must meet disability criteria if under age 65); 2. meet a level of care of being at risk of hospitalization as determined by CARES; 3. have a diagnosis of Familial Dysautonomia and a need for medically necessary services provided by the waiver as determined by CARES, and 4. be enrolled in the Familial Dysautonomia waiver as documented by form CF-ES 2515.
For the iBudget Florida Waiver individuals must:
1. be aged three or older (must meet disability criteria if under 65); 2. meet level of care requirements as determined by the Agency for Persons with Disabilities; and 3. be enrolled in the iBudget Florida waiver as documented by form CF-ES 2515
The iBudget Florida waiver is targeted to develop mentally disabled individuals and allows the customer more choice and control over his or her services.