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want retroactive coverage for the child prior to the waiver and are resistant about being asked any questions about themselves. If the parents do not want the retroactive coverage, they are not required to provide information about their own finances for those retroactive months. As each screen is completed, the questions will relate to the situation of the child only, if retroactive coverage is not desired. 2035.30.00 DETERMINATION OF MEDICAL CATEGORY (MED)

In the absence of a stated preference by the applicant22, Eligibility System will determine the category according to the hierarchy listed below. A brief description of the categories can be found in Chapter 1600. The hierarchy is designed so that the applicant is first considered under the category which provides the most comprehensive scope of coverage in the most expeditious manner. If the client states an intention to apply for the Aged, Blind, or Disabled category, the preferred category can be entered by the worker on Program Request Summary screen. However, a person who is eligible in a mandatory category cannot choose to be in an optional category. Therefore, individuals who are working and eligible in the Disabled category cannot choose to be in MEDWorks. Additionally, applicants do not have the option to choose the MA 10 category when eligible under another category. An individual who is eligible for MADW (not MADI) can choose to be enrolled under MA D. Workers must ensure that the applicant is in fact eligible for MA D. For example, if the applicant’s gross earned income minus impairment-related work expenses is more than the SGA limit, MA D cannot be approved. Refer to Sections 1620.72.00 and 2035.30.10 regarding MA10 determinations, and to Section 2035.30.05 which explains the special considerations for MA 9, children aged 1 – 19.

• MA SI SSI Recipient – full coverage, HCC or FFS • MA X Newborn – HHW Package A, full coverage • MA Y Children under age one - HHW Package A, full coverage. • MA Z Children aged one through five - HHW Package A, full coverage • MA 2 Children aged 6 through 18 - HHW Package A, full coverage • MAGF Parent/Caretaker and Refugee Parent/Caretaker -FFS, full coverage • MA F Transitional Medical Assistance (TMA) - HHW Package A, full coverage • MAMA Pregnant women – HIP Maternity, full coverage • MAGP Pregnant women - HHW Package A, full coverage • MA O Children aged 19-21 residing in inpatient psychiatric facilities – full coverage, FFS • MA 15 Former Foster Care ages 18 through 25 – full coverage, HCC or FFS • MA 9 Children aged one through 18 - HHW Package A, full coverage • MA R RCAP related - full coverage, HCC or FFS