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Chapter: 1400 Technical Requirements Program: MSSI, SFP 44

1440.1106 Receipt of Assistive Care Services (MSSI) Individuals residing in an assisted living facility, adult family care home or mental health residential treatment facility may qualify for the MEDS-AD Program if the facility in which they reside is licensed to provide assistive care services (ACS) and the individual meets all other program criteria. 1440.1200 AGED, BLIND, OR DISABLED (MSSI, SFP) An individual must be aged, blind, or disabled to be eligible for SSI-Related Medicaid. Exceptions to these criteria are individuals who qualify for QMB and SLMB benefits.

Note: To qualify for MEDS-AD, an individual must be aged or disabled. Blindness alone will not satisfy the criteria. If a blind person receiving SSA benefits applies, he should be referred to the Division of Disability Determinations (DDD). 1440.1201 Aged Requirement (MSSI, SFP) An individual must be 65 or older to be eligible for assistance on the factor of being aged.

The following exceptions are allowed: for the HCDA Program, the individual must be 60 or older unless disabled. A disabled individual must be 18 years of age or older to qualify for HCDA. 1440.1202 Age Verification (MSSI, SFP) The following are acceptable methods of age verification:

1. Social Security’s (RSHDI) determination of age, or 2. public or religious records established prior to age five indicating date of birth.

If the above are not available, two sources of verification established at least five years prior to the application date are required.

Examples of acceptable verification include but are not limited to the following:

1. birth certificates; 2. records of marriage, employment, immigration, or naturalization; 3. passports; or 4. religious records. 1440.1203 Blind/Disability Requirement (MSSI, SFP) If an individual is not aged, he must meet the factor of blindness and/or disability.

Blindness is defined as central visual acuity of 20/200 or less in the better eye with the use of a corrective lens.

Note: Blindness does not apply to the MEDS-AD Program.

Disability is defined as:

1. the inability to engage in any substantial activity due to any medically determinable physical or mental impairment, and 2. a disability which has lasted or can be expected to last for a period of at least 12 consecutive months or result in death.