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Official source

Appendix A-16-6-RB 291

PAGE 2

3. You are a disabled child living at-home and are age 18 or under and

receiving medical care at home that would be provided in a medical

institution.

4. You are in a nursing home or hospital for 31 consecutive days or longer

and your total income is below the Medicaid institutional limit. Your

resources must not exceed $4000 for an individual.

5. You once received SSI and were terminated for one of the following

reasons but would still be eligible for SSI if we disregard the income

that made you ineligible such as:

a. A cost-of-living increase in Social Security.

b. Entitlement to or an increase in Social Security disabled adult child benefits after July 1, 1987.

c. Entitlement to Social Security widow(er) benefits for those

between age 50-65 who are not eligible for Medicare.

6. You are disabled and working at least 40 hours per month. Your gross monthly earned income cannot exceed 250% of the federal poverty level for an individual or couple. Your unearned income cannot exceed 135% of the federal poverty level for an individual or couple. Resources cannot exceed $24,000 for an individual and $26,000 for a couple. A monthly premium is payable for an individual or couple whose earnings exceed 150% of the poverty level for Working Disabled coverage.

7. You are disabled and not eligible for Medicare. Your income cannot exceed 135% of the federal poverty level for an individual or couple. Your resources must not exceed $4000 for an individual or $6000 for a couple for coverage in the Healthier Mississippi Waiver program.

8. You are a pregnant woman with household income that does not exceed 194%

of the federal poverty limit.

The income limits referred to above can be found on the Division of Medicaid’s website at www.medicaid.ms.gov under “see if you qualify for Mississippi Medicaid health benefits,” or you may call the Regional Office to get income and other information about Medicaid coverage.

If you believe that you may be eligible under one of the groups described above, you should contact:

ADDRESS: _________REGIONAL OFFICE DIVISION OF MEDICAID (ADDRESS) (CITY,STATE,ZIP)

TELEPHONE: _________________

within thirty (30) days for a redetermination of eligibility.

Enclosure: Medicaid Notice of Non-Discrimination

Page 9

Official source

Appendix A-16-6-RB 291

PAGE 2

3. You are a disabled child living at-home and are age 18 or under and

receiving medical care at home that would be provided in a medical

institution.

4. You are in a nursing home or hospital for 31 consecutive days or longer

and your total income is below the Medicaid institutional limit. Your

resources must not exceed $4000 for an individual.

5. You once received SSI and were terminated for one of the following

reasons but would still be eligible for SSI if we disregard the income

that made you ineligible such as:

a. A cost-of-living increase in Social Security.

b. Entitlement to or an increase in Social Security disabled adult child benefits after July 1, 1987.

c. Entitlement to Social Security widow(er) benefits for those

between age 50-65 who are not eligible for Medicare.

8. You are a pregnant woman with household income that does not exceed 194%

of the federal poverty limit.

If you believe that you may be eligible under one of the groups described above, you should contact:

ADDRESS: _________REGIONAL OFFICE DIVISION OF MEDICAID (ADDRESS) (CITY,STATE,ZIP)

TELEPHONE: _________________

within thirty (30) days for a redetermination of eligibility.

Enclosure: Medicaid Notice of Non-Discrimination