Basic Considerations

To be eligible under the Disabled Adult Child COA, the A/R must meet the following conditions:

The A/R is currently receiving RSDI as a disabled adult child.

The A/R previously received SSI that was terminated on or after 7/1/87 because of an increase in or initial entitlement to RSDI as a disabled adult child. The increase or initial entitlement must have been on RSDI (Title II) income, not RRR or other income

The A/R is eligible for SSI if the initial entitlement to RSDI, any increase(s) in RSDI and/or RSDI COLAs received since the A/R last received SSI are disregarded.

The A/R meets all basic and financial eligibility criteria.

Length of Stay (LOS) and Level of Care (LOC) are not requirements for this COA.

The RSDI claim number will end with a beneficiary identification code (BIC) that includes C if the A/R receives RSDI as a disabled adult child.

Approve Medicaid on the system using the Disabled Adult child COA if the A/R meets all the above eligibility criteria, including retroactive months if needed.

Do not approve Medicaid using the Disabled Adult Child COA for any month for which the A/R was eligible for and received an SSI payment.