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COMAR 10.09.24.03
303 State of Maryland Medical Assistance Manual Revised July 2012 Children under age six whose family income is below 133% of the Federal Poverty Level (FPL); Pregnant Woman whose family income is below 250% of the FPL (services are limited to those related to pregnancy, complications of pregnancy, delivery, and postpartum care); SSI recipients in most States; Recipients of adoption or foster care assistance under Title IV of the Social Security Act; or Special protected groups (typically individuals who lose their cash assistance due to earnings from work or from increased Social Security benefits, but who may keep Medicaid for a period of time) 300.3 Medicaid Medically Needy (MN) Coverage Medically Needy (MN) is a federal and state funded Medicaid program for persons who are aged, blind, or with a disability; pregnant women; or children with income above CN limits. MN provides slightly less medical coverage than CN, and requires greater financial participation by the customer.
Coverage Groups: The following persons who apply for and meet the requirements of these regulations are covered as MN:
A Pregnant Woman who has been denied TCA solely because her income or resources exceed the cash assistance level; A person younger than 21 years old; A caretaker relative (and spouse); An aged, blind, or disabled person; and A person who was eligible as MN in December, 1973, on the basis of the blindness or disability criteria of aid to the Permanently and Totally Disabled or Public Assistance to the Needy Blind and who continues to meet current requirements except for blindness or disability criteria. Eligibility Criteria: The household‟s income is used to determine if they meet the standards for medically needy. If your assets are no more than the MN limits, but income exceeds the MN standard, you may “spend-down” to qualify for Medicaid coverage during a six-month period. The difference between the amount of your income and the eligibility standard is called excess income. Under the spend-down process, your application will remain in preserve until the end of the six-month period. If during that time you incur medical expenses, the amount of your medical bills can be deducted from your excess income.