Page 73

COMAR 10.09.24.03

372 State of Maryland Medical Assistance Manual Revised July 2012

Family Planning Benefit Coverage

Visit to the doctor or clinic Pelvic exams, pap smears, and screenings for Sexually Transmitted Infection (STI‟s) and HIV( Human immunodeficiency virus ) as part of annual visit Consultation about birth control methods Prescriptions and devices for birth control Permanent sterilization (must be over 21)

NOTE: Eligibility Determination, The FP eligibility staff at DHMH will determine eligibility and notify applicants of the eligibility decision by mail.

(p) Children and Temporary Cash Assistance (TCA) adults in Long-Term Care Facilities (LTCF)

The T- Track for Family LTC is used for MA eligibility determinations for children and certain adults admitted to a LTCF. The T-track is different from the L-Track, which is for ABD in LTC. The T-Track is for children and adults whose MA LTC eligibility is determined using the eligibility policy for: FAC under COMAR 10.09.24- Medical assistance Eligibility; or Children under COMAR 10.09.11-Maryland Children‟s Health Program (MCHP), but not including MCHP coverage under Title XXI of the Social Security Act (coverage groups P13 and P14 and the D-Track.

When a child (under 21 years old) is admitted to a LTCF, MA LTC eligibility is determined for the T-Track. If the child is currently MA community eligible (E, F, G, H, or S track) or MCHP eligible (P-Track), an unscheduled redetermination is necessary. If the child is not an active MA or MCHP recipient, an initial MA LTC eligibility determination is conducted. The L-Track is only used for a child who is a recipient of Supplemental Security Income (SSI) or whose LTC eligibility is determined using ABD rules. All SSI recipients, adults or children, who have no other source of income, have their LTC eligibility determined for coverage group L01, so they are not subject to annual redeterminations (see Policy Alert 10-08).

When a child, parent, or caretaker relative, who is active in MA community coverage group F01 due to receipt of TCA, is admitted to a LTCF, MA LTC eligibility may be determined for the T- Track coverage group T01. Then, the recipient does have to be determined as aged, blind, or disabled in the L-Track in order to be covered by MA for LTC services.