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Chapter: 2400 Budgeting Income Program: MSSI, SFP 34 2440.0106 SSI Lost Due to Entitlement to Widow(er)’s Benefits (MSSI) Individuals who lost SSI due to entitlement to widow(er)’s benefits may be eligible for protected Medicaid if such individuals:

1. are receiving or received SSI prior to age 60; 2. are (or were) mandated to file for widow(er)’s benefits under Title II; 3. lost SSI benefits due to the receipt of widow(er)’s benefits; 4. are not entitled to Medicare, Part A; and 5. included income after disregard of the SSA Title II benefits does not exceed the current SSI FBR.

Eligibility under this coverage group terminates when the individual becomes entitled to Medicare, Part A. 2440.0107 Widow(er)s Lost SSI - Change in Actuarial Formula (MSSI) Widow(er)s who lost SSI because of the 1983 changes in the actuarial formula may be eligible for protected Medicaid if:

1. an application was made prior to July 1, 1987 and they were entitled to a monthly insurance benefit under Title II of the Social Security Act of 1983; 2. they were entitled to and received a widow(er)’s benefit based on a disability under the Social Security Act of January 1984; 3. they became ineligible for SSI because the widow(er)’s benefit was increased due to the elimination of the reduction factor for disabled widow(er)s entitled before age 60; 4. they have been continuously entitled to a widow(er)’s benefit from the first month that increase in their widow(er)’s benefits were disregarded; and 5. the individual’s included income, after disregard of the SSA cost of living adjustments received since the individual was last eligible for and received SSI benefits, must not exceed the current SSI FBR. 2440.0108 Disabled Widow(er)s Lost SSI Due to Title II (MSSI) Disabled widows(ers) or surviving divorced spouses who lost SSI due to entitlement of Title II disability benefits may be eligible for Protected Medicaid if:

1. they were receiving SSI for the month prior to the month they began receiving Title II benefits; 2. they would continue to be eligible for SSI if the amount of the Title II benefit were not counted as income; 3. they are not entitled to Medicare Part A; and 4. the individual's included income, after disregard of the Title II benefit received since the individual was last eligible for and received SSI benefits, must not exceed the current SSI FBR. 2440.0109 Disabled Widow(er)s Lost SSI Due to Title II (MSSI) Disabled widows(ers) or surviving divorced spouses who lost SSI due to entitlement of Title II disability benefits because of OBRA 90 changes in disability criteria may be eligible for Protected Medicaid if:

1. they were receiving SSI for the month prior to the month they began receiving Title II benefits; 2. they would continue to be eligible for SSI if the amount of the Title II benefit were not counted as income; 3. they are not entitled to Medicare Part A; and