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Chapter: 2000 Coverage Groups Program: MSSI, SFP 13 2040.0800 SSI-RELATED MEDICAID COVERAGE GROUPS (MSSI) 1. Aged, Blind and/or Disabled Medicaid for SSI eligible individuals (could be ICP, Hospice or HCBS); 2. Protected SSI Medicaid, including Regular COLA Protected Medicaid and Disabled Adult Child Protected Medicaid; 3. SSI-Related MEDS for Aged or Disabled (Medicaid Expansion designated by SOBRA - Aged or Disabled); 4. Emergency Medical Assistance for Noncitizens, from an SSI-Related Medicaid category; 5. Medically Needy from an SSI-Related Medicaid category; 6. SSI Eligible ICP (includes Hospice); 7. SSI-EEI ICP (includes Hospice); 8. SSI-Related ICP except for transfer of assets (not eligible for ICP due solely to transfer of assets, cannot receive vendor payments for institutional services, but is eligible for all other services); 9. SSI MEDS ICP for Aged and Disabled; 10. SSI Medically Needy in a Long-Term Care Facility; 11. Hospice Services Medicaid, including SSI Eligible Hospice Services, SSI-EEI Hospice Services, SSI MEDS Hospice Services for Aged and Disabled, and SSI Medically Needy Hospice Services; 12. Home and Community Based Services (HCBS) Medicaid waivers, including, Model Waiver, Familiar Dysautonomia, Individual budget (iBudget) program; and Statewide Medicaid Managed Care - Long Term Care Programs; 13. Qualified Medicare Beneficiaries Medicaid for all categorical Medicaid where the individual is Part A Medicare eligible; 14. Special Low Income Medicare Beneficiary Medicaid; 15. Qualified Individuals 1; 16. Working Disabled entitled to payment of Part A Medicare premium only (cannot receive other coverage); 17. Retroactive Medicaid; 18. Posthumous Medicaid; 19. Breast and Cervical Cancer Treatment; 20. Program of All-Inclusive Care for the Elderly (PACE) and 21. Modified Project Aids Care (MPAC). 2040.0801.01 Supplementary Security Income Coverage Group (MSSI) Any Florida resident who has been determined eligible for SSI benefits is automatically entitled to Florida Medicaid. However, the individual must meet additional Title XIX requirements in order to be entitled to the Medicaid benefit of institutional care. SSI is a Direct Assistance Program administered by the Social Security Administration (SSA) under Title XVI of the Social Security Act. The State of Florida elected to accept the determination of SSI eligibility, made by SSA, as determination of Medicaid eligibility.

The individual must reside in Florida and be entitled to SSI benefits. 2040.0801.02 Identification by SSA of SSI-DA (MSSI) SSA identifies to the state those individuals who are SSI eligible and residing in Florida by means of the State Data Exchange (SDX). The individual's name in SDX constitutes verification of SSI eligibility.

2040.0801.03 Entitlement Due to Receipt of SSI (MSSI) Some SSI eligible individuals also receive other types of benefits such as optional state supplementation, institutional care, home care for the elderly, and Hospice. When an individual is