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2414.00.00 SSI STATUS .......................................................................................................... 52

2414.10.00 SSI 1619 STATUS ...................................................................................... 53 2414.10.10 DISABLED ADULT CHILDREN ...................................................................... 53 2414.10.15 PICKLE RULE ............................................................................................ 55 2414.10.20 DISABLED WIDOWS OR WIDOWERS ........................................................ 55 2415.00.00 CATEGORICAL ELIGIBILITY FOR MEDICAID WAIVERS .......................................... 56 2416.00.00 MEDICARE STATUS (MED 4) ................................................................................ 56 2416.05.00 QUALIFIED MEDICARE BENEFICIARY (MED 4) ......................................... 56 2416.10.00 QUALIFIED DISABLED AND WORKING INDIVIDUALS (MED 4).................. 57 2416.15.00 SPECIFIED LOW INCOME MEDICARE BENEFICIARY (MED 4) .................. 58 2416.20.00 QUALIFIED INDIVIDUALS (MED 4) ............................................................ 58

2418.00.00 HOUSEHOLD TAX RELATIONSHIPS (MED 3) ......................................................... 59 2420.00.00 RESIDENCE IN THE HOME OF A SPECIFIED RELATIVE (MED 3) ........................... 59 2420.05.05 Verification of Relationship (MED 3) ........................................................... 60 2420.10.05 VERIFICATION OF LIVING WITH (MED 3) .................................................. 61 2420.15.00 TEMPORARY ABSENCE FROM THE HOME (MED 3) .................................. 62 2422.00.00 INSTITUTIONAL STATUS ....................................................................................... 62 2422.10.00 RESIDENTS OF INSTITUTIONS ................................................................. 62 2422.10.05 RESIDENTS OF PSYCHIATRIC FACILITIES ................................................. 64 2422.10.10 Certification of Need/Inpatient Psychiatric Care .......................................... 64 2422.10.15 PERSONS AGED 65 AND OLDER/INPATIENT PSYCHIATRIC CARE ............. 65 2424.00.00 LEVEL OF CARE/PREADMISSION SCREENING ...................................................... 65

2426.00.00 PREGNANCY (MED 3) ........................................................................................... 66 2428.00.00 NEWBORN STATUS (MED) ................................................................................... 66 The policy stated in this section only applies to a child born to a woman who is eligible and enrolled in any MA category (except MA10) on the date of birth, even if