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COMAR 10.09.24.03

309 State of Maryland Medical Assistance Manual Revised July 2012 Transmittal 01-02 dated 8/7/2000 addresses how to redetermine eligibility when the guardianship through the Kinship Care Program goes into effect for children previously certified in the E- track. Coverage Groups in the E-track for Children in State Out-of-Home Placements (Foster Care) or in Subsidized Adoptions. Note: The MA CM should not test for income or resources for any of the coverage groups in the E-track as a condition of MA eligibility, but should still test for technical MA eligibility. The MA CM should enter $1 for the foster care or subsidized adoption income and enter any child support, SSI, or SSDI income with a valid value of “ON” (“other non-countable”). The MA CM should narrate for each type of non-countable income that is entered and for any other of the child‟s reported income or resources of the child that are not counted for the E-track eligibility determination, but may be needed for a future application. Following is a description of the basic MA eligibility requirements for each coverage group in the E-track: E01: IV-E or SSI Children in Foster Care or Subsidized Adoption Federally matched MA is automatically provided, without a separate test for MA eligibility, to any child receiving adoption for foster care benefits who is either eligible under Title IV-E of the Social Security Act or SSI-eligible. Since CARES has little programming for E01, a case should only be pended in E01 if the MA CM confirms (through SVES, SDX, or SOLQ) that the child is receiving SSI benefits or if IV-E eligibility is confirmed by the LDSS IV-E specialist, not based on a presumption of SSI or IV-E eligibility. o If it is later found that an E02, E03, or E04 child is IV-E or SSI eligible, the MA CM should “J” Screen an existing E01 assistance unit (AU) or use “Add-A-Program” to establish an AU for the E01 coverage effective as of the 1st day of the month after the MA CM is notified of the IV-E or SSI eligibility. If a previous E01 AU is available, the MA CM could “J” Screen an existing E01 AU, if one was previously available. o OHP children who receive SSI are included in E01, rather than in the S02 Coverage group, even if they are not IV-E eligible. However, since CARES is programmed to deny an E01 application with SSI (“SI”) income, the Child‟s SSI income should be entered on the CARES UINC Screen with a valid value of “ON” for other non-countable income. The MA CM should fully narrate in CARES.

E02: Non-IV-E Foster Care and Special Needs Subsidized Adoption Federally matched MA is provided to foster care children who are not IV-E eligible but who do meet the MA technical eligibility criteria at COMAR 10.09.24.05 (Chapter V of the Medicaid Eligibility Manual), including the MA citizenship requirements. Non-IV-E children also qualify for E02 if they are receiving