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North Carolina Department of Health and Human Services AGED, BLIND AND DISABLED MEDICAID MANUAL MA-2000

NON-SSI ELIGIBILITY REGULATIONS

REVISED 03/01/14 - CHANGE NO. 01-14

V. NON-SSI AGED, BLIND, AND DISABLED COVERAGE GROUPS BY CLASSIFICATION

A. Categorically Needy - No Money Payment (Refer to MA-2100, Categorically Needy - No Money Payment, MA-2110, Passalong), and MA-2180, Health Coverage for Workers with Disabilities.

1. Individuals with income below 100% of the Federal Poverty Level and resources below the SSI limit who do not receive SSI.

2. Individuals Deemed To Be Receiving SSI (Passalongs).

3. Individuals covered under HCWD with unearned income less than or equal to 150% of Federal Poverty Level (there is no limit on total countable income for this program).

B. Medically Needy (Refer to MA-2120, Medically Needy Regulations)

Individuals who meet the non-financial eligibility requirements who have income/resources that exceed categorically needy income limits.

C. Medicare-Aid Coverage Groups

Medicare-Aid is a limited Medicaid program that supplements Medicare coverage for low income individuals.

1. Qualified Medicare Beneficiaries (MQB-Q) - Refer to MA-2130, Qualified Medicare Beneficiaries – Q.

2. Specified Low Income Medicare Beneficiaries (MQB-B) - Refer to MA-2140, Qualified Medicare Beneficiaries – B.

3. Qualified Disabled Working Individuals (MWD) - Refer to MA-2150, Medicaid Working Disabled.

4. Qualifying Individuals - QI-1’s (MQB-E) - Refer to MA-2160, Qualified Individuals 1 (MQB-E).

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