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AGED, BLIND, AND DISABLED MEDICAID 201-1 SSI Eligibles

Supersedes: ABD 201-1 (July 01, 2016) Reference: 20 CFR 416.2101, .2111 and .2116; 42 CFR 435.120; ARM 37.82.101 and .901-.903 Overview: A Supplemental Security Income (SSI) application filed with the Social Security Administration (SSA) is also a Medicaid application, and individuals eligible for SSI are categorically eligible for SSI-related Medicaid, provided they meet all non- financial requirements. Individuals eligible for State Supplemental Payments (SSP) or eligible under Section 1619 of the Social Security Act are also categorically eligible for SSI-related Medicaid, provided they meet all non-financial requirements. SSI-eligible clients must cooperate, both for themselves and for other household members, with all third-party liability requirements. Because the SSA determines their financial eligibility, income and resources are not evaluated for SSI-eligible clients before issuing SSI-related Medicaid. In addition, SSI-eligible clients applying for nursing home or Home and Community Based Waiver services coverage: 1. May be asked to provide additional information and/or verification necessary to determine the additional level of coverage; and 2. are evaluated for uncompensated asset transfers during the look-back period. DATE OF MEDICAID ELIGIBILITY: SSI-related Medicaid eligibility begins the month prior to the month in which the initial SSI cash payment is made. This is because SSA delays the initial payment for one month. Retroactive Medicaid may be available for the three months immediately