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AGED, BLIND, AND DISABLED MEDICAID 800 Residential Medical Institutions Overview

Supersedes: ABD 800 (July 1 2016) Reference: 42 U.S.C. 1396r-5; 42 CFR 435.301, .725, .832; .1008 and 1009; 42 CFR 435 Subpart E; ARM 37.82.101, 37.82.1301-.1306; .1310-.1313, .1320 and .1321 Overview: Aged, blind and disabled individuals who live in licensed medical institutions may be eligible for Medicaid provided they meet all ABD institutional coverage requirements. Individuals listed below are not considered residents of a medical institution but may qualify for a different Medicaid program. 1. Individuals temporarily placed in an institution pending other arrangements; or 2. Individuals receiving an education or vocational training while living in a public or vocational training institute (e.g., School for the Deaf and Blind, Job Corps, etc.) SSI CASH RECIPIENTS: An individual in receipt of SSI or State Supplement payment or 1916b is not required to have an independent evaluation of income and resources when the recipient requests additional coverage, including MSP, Waiver, and Nursing Home. COVERED MEDICAL INSTITUTIONS: Residents of licensed medical institutions or intermediate care facilities/nursing homes who meet all ﬁnancial and nonﬁnancial eligibility criteria may receive Medicaid to help pay for their care. INSTITUTIONS FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (IID): Institutions for the individual with intellectual disabilities are primarily for the diagnosis, treatment and rehabilitation of individuals with intellectual disabilities, cerebral palsy, epilepsy or other developmental diseases. The facility provides evaluation, 24-hour supervision, and coordination of health and rehabilitative services in a protected residential setting.

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Official source

AGED, BLIND, AND DISABLED MEDICAID 800 Residential Medical Institutions Overview

Supersedes: ABD 800 (July 1 2016) Reference: 42 U.S.C. 1396r-5; 42 CFR 435.301, .725, .832; .1008 and 1009; 42 CFR 435 Subpart E; ARM 37.82.101, 37.82.1301-.1306; .1310-.1313, .1320 and .1321 Overview: Aged, blind and disabled individuals who live in licensed medical institutions may be eligible for Medicaid provided they meet all ABD institutional coverage requirements. Individuals listed below are not considered residents of a medical institution but may qualify for a different Medicaid program. 1. Individuals temporarily placed in an institution pending other arrangements; or 2. Individuals receiving an education or vocational training while living in a public or vocational training institute (e.g., School for the Deaf and Blind, Job Corps, etc.) SSI CASH RECIPIENTS: An individual in receipt of SSI or State Supplement payment or 1916b is not required to have an independent evaluation of income and resources when the recipient requests additional coverage, including MSP, Waiver, and Nursing Home. COVERED MEDICAL INSTITUTIONS: Residents of licensed medical institutions or intermediate care facilities/nursing homes who meet all ﬁnancial and nonﬁnancial eligibility criteria may receive Medicaid to help pay for their care. INSTITUTIONS FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (IID): Institutions for the individual with intellectual disabilities are primarily for the diagnosis, treatment and rehabilitation of individuals with intellectual disabilities, cerebral palsy, epilepsy or other developmental diseases. The facility provides evaluation, 24-hour supervision, and coordination of health and rehabilitative services in a protected residential setting.