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Chapter: 2000 Coverage Groups Program: MSSI, SFP 18 income; and has income equal to or below the SSI FBR when, beginning July 1, 1987, any increase in SSA benefits or receipt of SSA benefits is subtracted from other income. 2040.0809 Protected Medicaid for SSI Children (MSSI) Children who were eligible for Supplemental Security Income (SSI) direct assistance on 8/22/96, but who became ineligible based solely upon a change in the definition of "childhood disability", continue to be Medicaid eligible until their 18th birthday, as long as they continue to meet the definition of disability in effect prior to 8/22/96, and all other SSI eligibility factors.

To be eligible for continued Medicaid benefits under this category, a child must meet all of the following eligibility criteria:

1. must have received SSI cash benefits on 8/22/96; 2. have been found ineligible for SSI on or after 7/1/97, based solely upon a change in the definition of "childhood disability"; 3. must be under age 18; 4. must be a U.S. citizen or have an acceptable qualified noncitizen status; 5. cannot have assets which exceed $2,000; 6. cannot have income which exceeds the current SSI federal benefit rate (see Appendix A- 9); and 7. must apply for all other benefits for which the child may qualify (excluding SSI).

Periodic eligibility reviews must be conducted by the Division of Disability Determinations to ensure the child continues to meet the disability criteria in effect prior to 8/22/96.

The parents' assets and income must be deemed to the child if the child and parents live together. Refer to Chapter 2600 for parent to child deeming policies.

Children who become ineligible for Protected Medicaid for Disabled Children due to factors other than disability may become eligible for Protected Medicaid in the future if the child would be SSI eligible except for the new definition of "childhood disability". Eligibility for Protected Medicaid for Disabled Children should be evaluated at reapplication.

Children whose SSI benefits are terminated for reasons other than the new definition of "childhood disability" do not qualify for Protected Medicaid for Disabled Children coverage. In addition, these children may not be ex parted into other programs that require the child to be disabled. A determination of disability using the criteria in effect prior to 8/22/96, does not meet the definition of disability for any program other than the Protected Medicaid for Disabled Children coverage group.

Many of these children receive assistance as part of a Temporary Cash Assistance household. To maintain their Protected Medicaid coverage, the child must be entered on FLORIDA under the MTA code according to special workaround instructions, regardless of other Medicaid coverage that may be passing on FLORIDA. 2040.0810.01 Emergency Medicaid for Noncitizens (MSSI) Noncitizens with an emergency medical condition who meet all technical (except citizenship and welfare enumeration) and financial requirements for Medicaid may be eligible for Medicaid.

To qualify for this coverage group, the ineligible noncitizen must qualify for SSI-Related categorical or Medically Needy Medicaid except for their noncitizen status. 2040.0810.02 Limited Coverage for Emergency Medicaid for Noncitizens (MSSI) Medicaid benefits will be provided to cover the emergency situation only. Medicaid payments will not be authorized to cover medical bills unrelated to the emergency.