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COMAR 10.09.24.03

310 State of Maryland Medical Assistance Manual Revised July 2012 subsidized adoption services through the DHR, have special needs for medical, mental health, or rehabilitative care, and meet the MA technical eligibility requirements. Since CARES is programmed to apply the same medically needy financial rules for this group as for F98, the MA CM must assure that CARES does not deny an eligible OHP case for E02 due to failing financial eligibility criteria (see Section II).

E03: State Funded Foster Care The State funds full MA coverage for foster care children who are not federally eligible for E01 or E02. o Since CARES does not trickle properly to E03 from E01 or E02, the MA case manager should use “Add-A-Program” or “J” Screen an existing E03 AU and complete the eligibility process for an E03 AU if a foster care child is ineligible for E01 or E02. The MA CM must assure that a foster care child is in the appropriate coverage group, and is only in E03 if MA technical eligibility criteria are not met (e.g. SSN, citizenship). o If it is later determined that the child is IV-E or SSI eligible, the MA CM should “Add-A-Program” or “J” Screen an existing E01 AU and complete the eligibility process for an E01 AU. o If verifications later confirm that the non-IV-E foster care child meets the MA technical eligibility criteria in COMAR 10.09.24.05 (including citizenship requirements), the MA CM should “Add-A-Program” or “J” Screen an existing E02 AU and complete the eligibility process for an E02 AU.

E04 State Funded Subsidized Adoption

The State funds full MA coverage for children in State subsidized adoptions who are not federally eligible for E01 or E02.

o Since CARES does not trickle properly to E04 from E01 or E02, the MA CM should “Add-A-Program” or “J” Screen an existing E04 AU and complete the eligibility process for a E04 AU if a subsidized adoption child is ineligible for E01 or E02. o If it is later determined that the child is IV-E or SSI eligible, the MA CM should “Add-A-Program” or “J” Screen an existing E01 AU and complete the eligibility process for an E01 AU. o If verifications later confirm that the non-IV E subsidized adoptions child with special medical needs meets the MA technical eligibility criteria in COMAR 10.09.24.05 (including citizenship requirements), the MA CM should “Add- A-Program” or “J” Screen an existing E02 AU and complete the eligibility process for an E02 AU.

CARES Procedures Followed by MA CM for MA Eligibility Determinations in the E- Track