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COMAR 10.09.24.05

526

State of Maryland Medical Assistance Manual Revised July 2012

All financial eligibility requirements must be met for the community based

coverage group for which eligibility would be determined if the applicant met the federal

citizenship/alien requirements for Families and Children(FAC) in the F track, Aged, Blind or Disabled (ABD) in the S-track or Maryland Children’s Health

Program (MCHP) in the P-track 9 (except for P13 and P14).

1. Spend- down of any excess income is required before X02 eligibility may be established if the applicable coverage group is Medically Needy FAC (F99) or ABD (S99). 2. Resources are not considered if eligibility is determined under MCHP rules for a child under 19 years old or a pregnant woman.

The eligibility requirements include assistance unit requirements, including the consideration of income and resources of financially responsible members who are not requesting coverage (i.e., the applicant’s spouse or the parents of an unmarried minor child applicant). An applicant between the ages of 21 and 64 who is not pregnant and is not the parent or other caretaker relative of an unmarried minor child living in the household (i.e., is not technically eligible under FAC or MCHP rules) must be determined blind or disabled by the Social Security Administration or the Maryland Department of Human Resources’ State Review Team (SRT) in order to meet the technical eligibility rules for an ABD coverage category. If a non- elderly adult is not blind or disabled, the applicant is technically ineligible for X02 coverage, even if the applicant received emergency medical service. Non- qualified aliens applying for coverage of emergency medical services are not required to:

1. Sign a written declaration or otherwise provide documentation of immigration status. 2. Provide or apply for a Social Security Number (SSN) or 3. Provide immigration documents or an SSN for non- applicants in the household, such as the applicant’s spouse or parents.

Only a person with incurred expenses for emergency medical services received by the person may be certified in the X02 coverage group. The certification period for X02 is only for the month(s) that the Utilization Control Agent (UCA) approves the applicant’s medical eligibility for emergency medical services, or the month of the applicant’s labor and delivery.