Page 295

MRG

UPDATED: JUNE 2011

721

OTHER ELIGIBILITY REQUIREMENTS WAIVERS

CARE AT HOME WAIVERS

For CAH III, IV & VI, and the CAH I/II children who are not otherwise Medicaid eligible based on their parent’s income and/or resources, the eligibility determination is made for the child counting only their own income and resources and excluding the income and resources of the parent/legal guardian. The child is considered a household of one and the child’s income and resources are compared to the medically needy level for one. If the child is receiving services paid for by a public program (i.e. Early Intervention, School Supportive Health), these services can be used to spend down the child’s excess income/resources. (See INCOME EXCESS and RESOURCES EXCESS RESOURCES)

Enrollment in the CAH waivers ends on the child’s 18th birthday. Prior to turning 18 the child may file an application for SSI.

References: SSL Sect.

366.6 & .7

ADMs 86 ADM-4

91 ADM-11

GIS

11 OLTC/001 09 OLTC/04

Interpretation: CAH III, IV and VI: When making an eligibility determination for a CAH III, IV and VI applicant, the child must be found ineligible for Medicaid when parental income and resources are budgeted and found eligible when deeming is not applied.

CAH I/II: When making an eligibility determination for a CAH I/II applicant, the child may be: • found ineligible for Medicaid when parental income and resources are budgeted, but found eligible when deeming is not applied, OR • be Medicaid eligible when parental income and resources are budgeted.