Page 137

UPDATED: JUNE 2010

574

OTHER ELIGIBILITY REQUIREMENTS HOUSEHOLD COMPOSITION

LOW INCOME FAMILIES (LIF), ADC-RELATED, PREGNANT WOMEN AND CHILDREN

Must not include: • Children and siblings over the age of 21 • SSI cash recipients • Family Assistance/Safety Net Assistance cash recipients • Unrelated foster care children • Parents of pregnant minors • Non-legally responsible relatives over age 21 • Unrelated household members (e.g. roommates)

Determining eligibility is a two-step process: 1. Count as many persons in the household as possible. If the child or the person seeking eligibility is not found eligible; 2. Remove the “May Counts” from the household of the applicant(s) and determine eligibility.

Policy: Medicaid may be authorized for an entire household or the portion of a household that is determined eligible. All persons in a household may apply on the same application, regardless of whether or not their eligibility is determined in the same budget/household. A child(ren) in receipt of an adoption subsidy may be removed from the household for budgeting purposes if the child(ren) makes the rest of the family ineligible. Federal law mandates states provide Medicaid coverage for adopted IV-E children.

References: SSL Sect.

365

366

Dept. Reg.

360-4.2

ADMs

OMM/ADM 97-2

91 ADM-8

90 ADM-9

82 ADM-6

INFs

07 OHIP/INF-1

90 INF-45

LCMs

95 LCM-106

GISs

00 MA/021

00 MA/007

(MRG)