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Chapter: 2000 Coverage Groups Program: MSSI, SFP 17 If an individual did not file a written application before July 1, 1987, the individual cannot be eligible under the coverage group. 2040.0805.03 Effective Date of Coverage for Widows(ers) I (MSSI) Eligibility for categorical Medicaid under this coverage group is effective no earlier than July 1, 1986.

An individual may apply for up to three months retroactive Medicaid based on the month of application under this coverage group. 2040.0805.04 Processing Application for Disabled Widows(ers) I (MSSI) Upon receipt of an application for Medicaid under this coverage group, an eligibility determination must be completed based on the criteria in passage 2040.0806.01. Eligibility determinations must be made for individuals who apply and are not currently eligible under Medicaid, as Medically Needy (Family-Related or SSI-Related), or under one of the Optional Categorically Needy Programs. 2040.0806.01 Individuals Who Lost SSI Due to Widows(ers) II (MSSI) Individuals who make application for Protected Medicaid - Widows(ers) II may be eligible if the individual:

1. is receiving or received SSI prior to age 60 and is (or was) mandated to file for widow's or widower's benefits under Title II; 2. lost SSI benefits due to the receipt of widow(er)'s benefits; and 3. is not entitled to Medicare, Part A. 2040.0806.02 Date of Entitlement for Widows(ers) II (MSSI) Eligibility for categorical Medicaid under Widows(ers) II coverage group is effective no earlier than July 1, 1988.

Eligibility for Widows(ers) II Protected Medicaid terminates when the individual becomes entitled to Medicare, Part A. 2040.0807.01 Protected Medicaid for Disabled Widows(ers) III (MSSI) OBRA '90 changed the disability test criteria requirements for disabled widows(ers) and disabled surviving divorced spouses.

Effective January 1, 1991, if an individual in this group loses their SSI benefits because of receipt of Title II benefits, they would remain eligible for categorical Medicaid if they:

1. were receiving SSI for the month prior to the month they began receiving Title II benefits; 2. would continue to be eligible for SSI if the amount of the Title II benefits were not counted as income; and 3. are not entitled to Medicare, Part A. 2040.0807.02 Date of Entitlement for Widows(ers) III (MSSI) Eligibility for categorical Medicaid under Widows(ers) III Protected Medicaid coverage group is effective no earlier than January 1, 1991. Eligibility under this coverage group terminates when the individual becomes entitled to Medicare, Part A. 2040.0808 Protected Medicaid for Disabled Adult Children (MSSI) Effective July 1, 1987, disabled adult children who lose their SSI benefits because of an increase in or receipt of Social Security disability benefits under one of their parent's work records, may continue to be eligible for Medicaid if: the disabled adult child meets all SSI criteria except for