Basic Considerations

ABD Medicaid COAs are divided into the following two types:

FBR (Federal Benefit Rate) – COAs that use the SSI FBR to determine income eligibility.

Non FBR – COAs that use an income limit other than the FBR to determine income eligibility.

The FBR COAs consist of the following:

SSI Medicaid

Pickle (PL 94-566)

Disabled Adult Child (PL 99-643)

Disabled Widow(er) Age 50-64

Widow(er) 60-64 (PL 100-203)

Widow(er) 1983 (PL 99-272) ( No longer approve these COAs )

Protected Medicaid 1972 (PL 92-603) ( No longer approve these COAs )

Former SSI Disabled Child

The Non-FBR COAs consist of the following:

Elderly and Disabled Waiver Program (EDWP) formerly known as Community Care Services Program (CCSP)

New Options Waiver (NOW)

Comprehensive Supports Waiver Program (COMP)

TEFRA/Katie Beckett

Hospice

Hospital

Independent Care Waiver Program (ICWP)

Nursing Home (NH)

ABD Medically Needy (AMN)

Qualified Disabled Working Individuals (QDWI)

Q Track: Qualified Medicare Beneficiary (QMB) Specified Low-Income Medicare Beneficiary (SLMB) Qualifying Individual 1 (QI-1) QMB eligibility for persons receiving SSI is discussed in 2143 Qualified Medicare Beneficiaries .

Refer to Chapter 2050, Application Processing, for a discussion of other Medicaid coverage, including the following:

2054 Emergency Medical Assistance

Retroactive Medicaid, including three months prior and intervening months, Section 2053

2055 Sponsored Aliens

Refer to Chapter 2900, Referrals, for other sources of medical assistance.