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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL D-410.1 Division of Welfare and Supportive Services REDETERMINATIONS Medical Assistance Manual VERIFICATION AT REDETERMINATION 14 Mar 01 MTL 14/01 Blindness - unless a physician determines that a beneficiary's vision has improved beyond the definition of blindness or SOLQ indicates blindness has ended. D-410.2 Public Laws Verification used to support the Public Law status must remain in the permanent section of the case file.
Pickle Amendment – Public Law 94–566 CASES - Income & resources are re- evaluated. Financial eligibility is determined using SSI Budget Form 2646. Exclude from countable income RSDI cost of living increases received after client was last eligible for and receiving SSI and entitled to RSDI in the same month.
Adult Disabled Child – Public Law 99–643 CASES - Income and resources are re- evaluated. Financial eligibility is determined using SSI Budget Form 2646. Exclude from countable income the 'adult disabled child' benefit OR the increase in their 'adult disabled child' benefit received after July 1, 1987.
Widow/Widowers – Public Law 100–203 CASES - Income and resources are re- evaluated. Financial eligibility is determined using SSI Budget Form 2646. Exclude from countable income widow/widower's benefits and SSA retirement/survivors benefits (SSA Dis¬ability benefits are not disregarded). They cannot be entitled to Medicare Part A hospital insurance.
Widow, Widowers and Surviving Divorced Spouses – Public Law 101–508 CASES - Income and resources are re-evaluated. Financial eligibility is determined using SSI Budget Form 2646. Exclude from countable income the Title II disability benefits. They cannot be entitled to Medicare Part A hospital insurance.
Suspension of SSI Due to Income – Public Law 96–265 CASES - The most current SDX must contain Public Law Code "I". If it does not, the client is not eligible for Medicaid under this public law.
Social security Independence and Program Improvements Act of 1994 – Public Law 103-296 CASES - The most current SDX must contain Public Law Code "A". If it does not, the client is not eligible for Medicaid under this public law.
Sponsor Deeming Cases - Income and resources are re-evaluated. Financial eligibility is determined using SSI Budget Form 2646. Disability for persons under age 65 may need re-evaluation by NMO (see most recent Form 3004). Parent and spouse deeming requirements may apply. Determine any contributions by the sponsor(s). Case file should have an indicator when sponsor deeming ends for a referral to apply for SSI.