Page 1

North Carolina Department Of Health and Human Services Division of Medical Assistance Medicaid Eligibility Unit AGED, BLIND AND DISABLED MEDICAID MANUAL MA-2100 CATEGORICALLY NEEDY - NO MONEY PAYMENT 1 MA-2100 CATEGORICALLY NEEDY-NO MONEY PAYMENT REVISED 03/01/14-CHANGE NO. 01-14

I. INTRODUCTION TO CATEGORICALLY NEEDY - NO MONEY PAYMENT (N)

Categorically Needy - No Money Payment is a Medicaid classification for aged, blind, and disabled individuals who do not receive SSI, but whose resources are below the categorically needy levels and whose income is below 100% of the Federal Poverty Level (FPL). This section defines the general requirements to determine eligibility as categorically needy for non- SSI recipients. (For working disabled or blind individuals, see MA 2180, Health Coverage for Workers with Disabilities.)

Always evaluate aged, blind and disabled individuals as categorically needy before evaluating under medically needy criteria.

II. POLICY RULES FOR CATEGORICALLY NEEDY

A. Meet the eligibility requirements in MA-2000, Non-SSI Eligibility Regulations.

B. Categorically Needy Income Limits (Refer to MA-2260, Financial Eligibility Regulations - PLA.

C. Not exceed the resource limit (Refer to MA-2260, Financial Eligibility Regulations – PLA.

D. Classification

1. Non-HCWD categorically needy individuals have classification “N” or “Q”, if dually eligible.

2. HCWD categorically needy individuals have classification “N” or “G” or, if dually eligible, “”Q” or “B.”

E. Deductible

Individuals evaluated as categorically needy cannot have a deductible. When income exceeds the categorically needy income limit, evaluate as medically needy.

F. Certification/Authorization

Refer to MA-2350, Certification and Authorization.

G. Buy-In

For categorically needy cases, the buy-in effective date is the first day of the first month the recipient is authorized for Medicaid.

Refer to MA-2410, Medicare Enrollment and Buy-In, for procedures.