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COMAR 10.09.24.03

380 State of Maryland Medical Assistance Manual Revised July 2012 The LDSS must promptly trigger a redetermination of the recipient‟s eligibility for whatever coverage group fits the recipient‟s new circumstances.

o If the recipient returns to an active TCA household, the LDSS determines if the recipient should be added to the existing TCA AU, and so would become MA eligible in the F01 coverage group. o If the recipient‟s community household is not eligible for TCA or the F-Track, a child‟s eligibility may be determined in the P-Track and an adult‟s eligibility maybe determined in the S-Track. o If a child is discharged into State-sponsored foster care or subsidized adoption, eligibility is determined in the E-Track. o If the recipient is discharged into a home and community-based services waiver, eligibility is determined by the DEWS in the H-Track.

NOTE: ALL CASES ACTIVITIES MUST BE FULLY NARRATED IN CARES.

300.5 Pickle Amendment

The Pickle Amendment created a separate category of Medicaid eligibility. Under the Pickle Amendment, an individual who received both SSA and SSI benefits but became ineligible for SSI due to cost-of-living adjustments (COLA) in the SSA benefit will remain eligible for Medicaid if the individual would continue to be eligible for SSI benefits if the COLA increases in the SSA benefits were disregarded. The Pickle Amendment requires that an individual is to be deemed an SSI recipient

Pickle Amendment Eligibility Criteria:

Terminated from SSI at any time since April 1977 (regardless of reason for termination). Currently receiving SSA as an ABD. Concurrently received both SSI and SSA at time of termination, The SDX document, SSI termination and SSA award letters, or a combination of these may verify the concurrent receipt of SSA and SSI. Currently meets all non- financial requirements for SSI and; Would currently be eligible for a SSI payment if the amount of the COLAS received since termination were deducted from the gross income

New Applications: