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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD B-320.1 Division of Welfare and Supportive Services Medical Assistance Manual 25 Mar MTL 02/25 MAABD MEDICAL CATEGORIES PICKLE AMENDMENT Use Form 2022–EM, Pickle Amendment Certification or the RSDI Computation Worksheet Form 2654–EE. Disabled persons must continue to meet disability criteria. Verification used to support "Pickle" status must remain in the permanent section of the case file. When re–evaluating eligibility because of changes in income, if the customer would now be eligible for SSI (using SSI rules) before disregarding cost–of–living increases, they no longer meet the criteria for Medicaid eligibility under Public Law 94–566 (Pickle Amendment). Note: To be eligible for Medicaid under the Pickle Amendment, the Center for Medicare and Medicaid Services (CMS) has always interpreted SSI eligibility to mean receipt of an actual cash benefit, not just eligible to receive a benefit. SSA considers eligibility under these circumstances to be a benefit under the Social Security Law and qualifies an individual for eligibility under the Pickle Amendment, provided all other requirements for eligibility under the Pickle Amendment are met. B-320.2 Adult Disabled Child - Public Law 99-643 Continues medical assistance for certain blind/disabled individuals age 18 years or older if: a. They received SSI benefits which were based upon a disability or blindness which began prior to the individual turning age 22; and b. They lost SSI eligibility on or after July 1, 1987 solely because they became eligible for SSA benefits as an "adult disabled child" or because of an increase in their "adult disabled child" SSA benefits; and c. They would now be eligible for SSI if the Social Security "adult disabled child" benefit or the increase in their "adult disabled child" benefits received after July 1, 1987 was excluded from their countable income; and d. All other eligibility factors are met. Note: The SSI benefits did not have to begin prior to age 22; only the disability or blindness on which the SSI was based had to begin before age 22. Verification: Social Security identifies individuals who are possibly eligible under this category with a "D" in the SDX Public Law column. Individuals must still meet all other eligibility criteria. If a subsequent SDX is received and the Alpha Code “D” has disappeared, it is the responsibility of the case manager to determine if the individual continues to meet the above criteria and document the case accordingly. The case manager shall document the case to show what amount of benefit is being disregarded. If the case manager cannot tell from the SDX what amount should be disregarded, Social Security should be contacted to verify. Use Form 2022-EM (Public Law Certification). For example, if a customer does not have enough quarters to receive a social security payment under their own record and receives only a payment on a parent’s record, the case worker can determine that all