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COMAR 10.09.24.03

304 State of Maryland Medical Assistance Manual Revised July 2012 If you meet your excess income amount within the six-month period, you may be determined eligible for Medicaid for the remainder of the six-month period.

To qualify for Medicaid as “MN”, your assets (i.e. resources) must be no more than the cap for your household size (e.g. $2,500 for a household of one person). There is no spend-down process for assets. If a person or household is asset over-scale as of the first day of the month, the person or household is ineligible for the entire month. The individual or household will remain ineligible until the assets are reduced to below the MN limit through allowable means (such as daily living expenses or paying down expenses). The individual or household may then reapply for Medicaid. If the assets are transferred or disposed for less than full value within 60 months before applying for Medicaid, there may be a penalty of ineligibility for Long Term Care (LTC) or waiver applicants. 300.4 Coverage Group Tracks A track is a group of related coverage groups. Currently there are 11 tracks. The same eligibility rules are used for all coverage groups in the same track.

The most commonly used tracks are used below:

Families and Children (FAC) (F-Track) Children placed in foster care or subsidized adoptions (E-Track) Low income pregnant women and children in the Maryland Children‟s Health Program (MCHP) (P-track) Uninsured children under the age of 19 whose income is above 200% but below 300% of the Federal Poverty Level. (MCHP Premium) (D-Track) Aged, blind, or disabled individuals (ABD) (S-Track) Refugees (G-Track) Aliens (X02) Undocumented or Unqualified Immigrants LTC cases have their own tracks, ABD individuals (L-track) Children and TCA adults and Family LTC (T-track). FAC LTC spend-down group (T99). Note: This is for a child in LTC, who has monthly income so high that it exceeds the LTC facility‟s cost of care, and places the child in spend-down. While this rarely occurs, the group is needed because it is covered under the State Plan.

Knowing the basic requirements for each track enables the user to quickly understand a recipient‟s enrollment in a particular coverage group.

(a) Family and Children Coverage Groups (FAC) ( F-Track)