007.03 DETERMINATION OF ELIGIBILITY FOR THE BLIND OR DISABLED.

(A) When the Social Security Administration has made the disability determination, all eligibility requirements for the Assistance to the Aged, Blind, or Disabled payment program, except for the disability determination, are the responsibility of the Department. (B) To have the State’s Medical Consultant make the disability determination for the State Disability Program the individual must be denied by Social Security for a ‘lack of duration’. (C) To be eligible for Assistance to the Aged, Blind, or Disabled payment program, the individual must have been determined disabled by the Social Security Administration, and be currently eligible to receive Supplemental Security Income or Retirement, Survivors, Disability Insurance, or be determined disabled by the State Review Team. (D) To be eligible for a State Disability Program payment, the individual must have been denied Supplemental Security Income due to a ‘lack of duration’ of their disability, and was determined disabled by the Department’s Medical Consultant. (E) The cost of medical examinations to determine initial or continuing State Disability eligibility may not exceed the established Medicaid allowable fee. The cost of a medical examination to determine eligibility is an allowable Title XIX expenditure if the individual is eligible for medical benefits on the date of the examination. If the initial application is rejected, the cost of the examination must be paid from administrative funds.