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AGED, BLIND, AND DISABLED MEDICAID MANUAL Transmitted by Change No. 15-03

MA-2120

MEDICALLY NEEDY REGULATIONS 12/01/02 (II.E.) 3. The deductible is based on income in a 6 month certification period. An exception is when an individual applies for Medicaid as MN before his SSI Medicaid terminates. In this situation, the deductible is based on income beginning with the month after SSI Medicaid terminates through the end of the 6 month certification period. Refer to MA-1000, SSI Medicaid – Automated Process, for instructions on SSI Medicaid terminations.

See MA-2360, Medicaid Deductible, for rules and procedures to establish deductible and allowable expenses to be applied to the deductible.

F. Classification{ XE "Medically Needy Classification" }{ XE "Classification for Medically Needy" }

The classification in EIS is “M”, or “B”, if the individual is dually eligible.

Refer to the EIS Manual for special Medically Needy codes for aliens.

G. Certification/Authorization{ XE "Medically Needy, Certification/Authorization" }{ XE "Certification/Authorization, Medically Needy" }

The ongoing c.p. for cases evaluated as MN is always 6 months.

1. The 6 month c.p. begins with the month of application.

2. Authorization begins the date all eligibility criteria are met. In cases of excess resources and/or deductible that is the date countable resources are reduced to the resource limit or the date the deductible is met, whichever is later.

Refer to MA-2350, Certification/Authorization, for further instructions.

H. Buy-In{ XE "Medically Needy, Buy-In" }{ XE "Buy-In, Medically Needy" }

For MN cases, the buy-in effective date is the first day of the second month following authorization for Medicaid.

Refer to MA-2410, Buy-In, for procedures. 2