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UPDATED: AUGUST 1999

536

OTHER ELIGIBILITY REQUIREMENTS

LIVING ARRANGEMENTS

An approved medical institution or facility includes the following, when operated according to Public Health Law or other applicable law:

• a private proprietary or non-profit nursing home ;

• the infirmary section of a home for the aged;

• a public home infirmary or similar public facility for the chronically ill;

• a hospital or nursing home section of a public institution operated for the care of persons with developmental disabilities;

• a State hospital for the mentally disabled operated by the Department of Mental Hygiene (OMH);

• a residential treatment facility for mentally disabled children certified by the Department of Mental Hygiene (OMH);

• an intermediate care facility for the developmentally disabled; and

• a hospital, other than one caring primarily for the mentally disabled.

NOTE: These definitions are NOT to be used for the purpose of determining the district of fiscal responsibility (See OMM/ADM 97-1).

Medicaid is available to otherwise eligible persons receiving inpatient psychiatric services while residing in an institution primarily for the care of the mentally ill when: the A/R is under age 21; the A/R turns age 21 during the course of his/her institutionalization, (in which case the A/R may receive assistance until s/he reaches the age of 22); the A/R is age 65 or over; or, the A/R is an FNP refugee or Cuban-Haitian entrant (in which case Medicaid may be authorized for eight months following the date of entry).

Medicaid may be provided to otherwise eligible prisoners or individuals in the detention process or to residents of another (MRG)