2663.4 Precedence of the Social Security Disability Determination

Official source

A final disability determination made by Social Security takes precedence over a PMD disability determination (see 2663.6 ). For a new PMD determination, one of the following conditions must be met:

Social Security has not made a final determination of disability or blindness within the past 12 months (also see 2662 ); or

Social Security has made a final determination of disability or blindness within the past 12 months, and the individual reports a change in condition or new disability (see 2662 ).

Persons who do not meet these criteria may qualify for MediKan coverage under a Tier 2 disability determination. Individuals who meet Tier 1 criteria but do not meet the conditions above may not receive Medicaid under PMD but may receive MediKan.

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2663.4 Precedence of the Social Security Disability Determination

Official source

A final disability determination made by Social Security takes precedence over a PMD disability determination (see 2663.6 ). For a new PMD determination, one of the following conditions must be met:

Social Security has not made a final determination of disability or blindness within the past 12 months (also see 2662 ); or

Social Security has made a final determination of disability or blindness within the past 12 months, and the individual reports a change in condition or new disability (see 2662 ).

Persons who do not meet these criteria may qualify for MediKan coverage under a Tier 2 disability determination. Individuals who meet Tier 1 criteria but do not meet the conditions above may not receive Medicaid under PMD but may receive MediKan.