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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD B-335 MAABD MEDICAL CATEGORIES Division of Welfare and Supportive Services Medical Assistance Manual 25 Mar MTL 02/25 KATIE BECKETT c. Be living at home; and d. Require a level of care provided in a nursing facility (determined by DHCFP); and e. Have medical costs for home care which are less than if the customer were institutionalized (determined by DHCFP); and f. Child’s countable income at or below 300% of SSI payments level; g. Child’s countable resources no more than $2,000. Note: Applications must first be evaluated for all other MAGI coverage groups. If determined ineligible for any MAGI programs, then evaluate for the Katie Beckett program following policy in MAM D-380 through MAM D-385. B-340 PRIOR MEDICAL This category, under the MAABD program, is used only after all other eligibility categories have been considered. If the customer is not eligible in another MAABD category, determine if they would have been eligible for SSI had SSA made a determination. Provides medical assistance to individuals who: a. Meet the definition of aged, blind or disabled; DHCFP makes the disability determination if SSA determination is unavailable due to death or lack of SSI application for a particular month. b. Have countable income less than the SSI payment amount; c. Have countable resources less than $2,000; d. Would have been eligible for SSI had they applied, regardless of whether the individual is alive when the application for Medicaid is received. B-345 HEALTH INSURANCE FOR WORK ADVANCEMENT (HIWA) Allows employed people with disabilities the opportunity to obtain/maintain healthcare coverage. Provides medical coverage to individuals who: a. Are at least age 16 but less than 65 years of age; b. Meet the Social Security criteria for disability; c. Are employed; d. Have less than $699 per month unearned income; e. Have gross earned income (prior to income disregard) of less than 450% of FPL;