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E-145 Division of Welfare and Supportive Services MAGI BUDGETING Medical Assistance Manual MAGI EXEMPTIONS 22 Jul 01 MTL 03/22

E-145 MAGI EXEMPTIONS

MAGI methodologies do not apply to individuals applying for Medicaid and Medicare Beneficiary benefits under the aged, blind and disabled categories (MAABD).

When an applicant indicates on the application they are disabled or pursuing home and community-based services, process a MAABD application. IF the individual also meets eligibility under a MAGI group, they may receive Medicaid under the MAGI group until the MAABD determination is made.

When an individual is pending a SSI determination:

a. approve Medicaid under the appropriate MAGI group and document pending SSI determination, DO NOT apply for MAABD in AMPS.

If SSI is approved:

a. terminate MAGI eligibility in the next month prior to cut-off and approve Medicaid under the appropriate MAABD category for the month after the MAGI eligibility ended.

Note: DO NOT approve MAABD for months an individual has already received Medicaid under a MAGI group, this may adversely affect patient billing as well as federal funding levels.