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Chapter: 0200 General Program Information Program: MSSI, SFP 8 0240.0102 Program Overview (MSSI, SFP) SSI-Related Medicaid provides medical assistance as defined by policy (see below) to certain groups of individuals. Although Medicaid is run by the state, the state is given federal matching funds for the program and must follow certain federal requirements in order to receive these funds.

SSI-Related Medicaid Programs include:

1. SSI Eligible Individuals (SSI-DA), 2. Institutional Care Program (ICP), 3. Eligible Individuals under SOBRA - Aged or Disabled (MEDS-AD), 4. Protected Medicaid (PM), 5. Medically Needy (MN), 6. Emergency Medicaid for Noncitizens (EMN), 7. Hospice, 8. Home and Community Based Services (HCBS), 9. Modified Project Aids Care (MPAC), 10. SSI-Related Programs for Refugees (RAP), 11. Qualified Medicare Beneficiaries (QMB), 12. Working Disabled (WD), 13. Special Low Income Medicare Beneficiary (SLMB), 14. Qualifying Individuals I (QI1), and 15. Program of All Inclusive Care for the Elderly (PACE)

It should be noted that all SSI recipients are also entitled to Florida Medicaid but their eligibility is based on the determination for SSI, which is made by the Social Security Administration.

The eligibility specialist must not confuse Medicaid with Medicare. Medicaid is medical assistance based on need and the benefits may vary widely from state to state. Medicare is medical insurance which is not based on need, but on entitlement, as determined by SSA. Because Medicare is a federal program, the benefits do not vary from state to state.

Other SSI-Related Programs are considered state funded programs because the state receives no federal funds to help pay for them and all funding is from general revenue. However, the basic eligibility requirements for these programs are still based on SSI policy. These programs include Optional State Supplementation and Home Care for the Disabled. 0240.0103 Eligibility Criteria (MSSI, SFP) The specific criteria for each SSI-Related Program will be listed under the program name below. To be eligible for any SSI-Related Program, an individual must meet general (technical) criteria, income, and asset requirements which vary by program, and any special criteria for a particular program.

For all SSI-Related Programs, the individual must meet the following technical eligibility criteria:

1. aged (65 or older), blind (does not apply to MEDS), or disabled; 2. U.S. resident; 3. Florida resident; 4. U.S. citizen or qualified noncitizen (except for EMA); 5. provide, or file for, an SSN (except for EMA); 6. file for all other benefits to which he may be entitled (except for EMA); and 7. assign rights to state to collect private health insurance (for MA-SSI only).