Page 1

AGED, BLIND, AND DISABLED MEDICAID 201-5 Disabled Adult Children Supersedes: MA 201-8 (07/01/08) Reference: 42 U.S.C. 1383(c); 42 CFR 435.120; ARM 37.82.101 Overview: Certain disabled adult children (DAC) may qualify for categorically needy Medicaid (i.e., no spend down). DAC coverage is limited to individuals who: 1. Meet all non-financial eligibility criteria; 2. Are within resource limitations; 3. Lost SSI/SSP eligibility after July 1, 1987, due to entitlement to or an increase in Social Security DAC benefits. NOTE: An increase to a DAC benefit could include COLA. 4. Currently receive Social Security DAC Benefits; and 5. Do not reside in a residential medical facility. All criteria listed above (1-5) must be met to correctly determine DAC Medicaid Eligibility. Simply verifying current receipt of Social Security DAC benefits is not sufficient. DAC & WAIVER: DAC Medicaid clients may also receive services under a Medicaid waiver. For couples, both spouses must be covered under the same waiver program. Effective Date: July 01, 2016