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• The step-parent of a child applicant/recipient living with the applicant/recipient and his biological parent • An essential person other than a spouse or parent who lives with the applicant/recipient and who provides essential care and services to him.
As used in this section a "child" is a person who is under the age of 18 or who is a student aged 18 – 21.
For a complete understanding of the way in which income and resources of nonparticipating AG members are considered, refer to Sections 3455.00 (Budgeting), 2600 (Resources), and 1610.00 (Category description).
3210.10.00 APPLICANT/RECIPIENT IN LONG TERM CARE (MED 1)
The policy stated in this section only applies to the MA A, MA B, and MA D categories of assistance when the applicant/recipient resides in a Medicaid certified facility.
The AG of an applicant/ recipient in long term care consists of:
• The applicant/recipient • The applicant's/recipient's spouse who also resides in a long-term care facility or hospital if the couple is separated only for medical reasons • The applicant's/recipient's spouse who does not live in a hospital, nursing facility, ICF/IID, CRF/DD, or psychiatric facility (referred to as the community spouse) • The following individuals who live with the community spouse of the applicant/recipient residing in a Medicaid certified facility: • Biological or adoptive child under age 21 of either spouse. • Biological or adoptive child age 21 and over who is claimed as a tax dependent. • Parents of either spouse, who are claimed as tax dependents; and • Siblings of either spouse who are claimed as tax dependents.
3210.15.00 CHILDREN APPROVED FOR CERTAIN HCBS WAIVERS (MED 1)
The policy contained in this section only applies to the MA D and MA B categories of assistance.
The only member of the AG is the applicant/recipient if he is under age 21 and approved for Home and Community Based Services (HCBS) under any of Indiana's waivers. Please, refer to IHCPPM 3305.00.00 for waiver types
3210.20.00 RCAP MEDICAID AG MEMBERS (MED 1)
The policy contained in this section only applies to the MA R category of assistance.