Procedures

Follow the steps below to determine Medicaid eligibility under the Protected Medicaid 1972 COA:

Step 1 Accept the A/R’s Medicaid application. Step 2 Obtain information required to complete the eligibility determination. Step 3 Using county and state records, determine whether the A/R received AABD or AFDC in 8/72. Step 4 Obtain the following verification from the Social Security Administration: The current amount of the A/R’s RSDI benefit. The amount of the A/R’s 8/72 RSDI COLA. Step 5 Determine all basic eligibility criteria except LOS and LOC. Refer to the Chapter 2200, Basic Eligibility Criteria. Step 6 Determine financial eligibility using the current SSI income and resource limits. Refer to the Chapter 2500, ABD Financial Responsibility and Budgeting, to determine the following: Whose income and resources to consider Which SSI income and resource limit (individual or couple) to use Which eligibility budget to complete Step 7 Approved Medicaid under the Protected Medicaid 1972 COA if the A/R meets all the above eligibility criteria, including retroactive months if needed. Do not approve Medicaid under the Protected Medicaid 1972 COA for any month for which the A/R was eligible for and received an SSI payment.