Page 307

MRG

UPDATED: JUNE 2011

732

OTHER ELIGIBILITY REQUIREMENTS WAIVERS

OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES (OPWDD) HOME AND COMMUNITY BASED SERVICES WAIVER (HCBS)

Interpretation: For individuals who are not Medicaid eligible at the time the Waiver application is filed with the DDSO, a referral letter will be given to the Waiver applicant/enrollee to present to the LDSS.

Local districts must utilize the most advantageous eligibility option available to the family including a determination of disability, if necessary, as well as a determination of eligibility for the three month retroactive period, if appropriate, with the following exceptions:

• Children who are certified blind or certified disabled, under the age of 18, who live at home, may have Medicaid eligibility determined by disregarding parental income (and resources) and applying the child’s income and resources to the Medically Needy level for a household of one. • Certified blind or certified disabled children under the age of 18 who are expected to live outside the parental household (in a Waiver qualifying living arrangement) may have eligibility determined by disregarding parental income (and resources) and applying only the child’s income and resources to the Medically Needy (or appropriate congregate care) level for a household of one.

NOTE: If the family of a certified blind or certified disabled Waiver child chooses not to apply for Medicaid for other household members, eligibility is to be determined for the Waiver child alone.

Children under the age of 18, who live at home, will be identified to the local district through a referral letter, completed by the local OPWDD Revenue Support Field Office, so the local district will be aware of the authority to waive parental deeming.

When Medicaid eligibility is determined by waiving parental deeming, a child support referral is not pursued.

HCBS Waiver applicants are required to document current resources, so that Community Coverage with Community-Based Long Term Care (coverage code 19) (or Outpatient Coverage with Community-Based Long Term Care, coverage code 21) can be authorized.