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210-RICR-40-00-3 TITLE 210 – EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES CHAPTER 40 – MEDICAID FOR ELDERS AND ADULTS WITH DISABILITIES SUBCHAPTER 00 – INTEGRATED COVERAGE GROUPS PART 3 – SSI FINANCIAL ELIGIBILITY DETERMINATIONS 3.1 Incorporated Materials A. These Regulations hereby adopt and incorporate 20 C.F.R. Part 416 (2023) by reference, not including any further editions or amendments thereof, and only to the extent that the provisions therein are not inconsistent with these Regulations. B. These Regulations hereby adopt and incorporate 20 C.F.R. Part 618 (2023) by reference, not including any further editions or amendments thereof, and only to the extent that the provisions therein are not inconsistent with these Regulations. 3.2 Overview of the SSI Methodology 3.2.1 Scope and Purpose A. All Supplemental Security Income (SSI) recipients are automatically eligible for Medicaid. The State has agreed to determine the eligibility of persons who have an SSI characteristic – age sixty-five (65) and older, blind or disabled – but do not qualify for cash benefits using the SSI methodology and in a manner that is no more restrictive than the way it is applied for SSI. B. For the purposes of this Chapter, the SSI methodology applies to adults with an SSI characteristic – often called SSI lookalikes – who have income at or below the SSI eligibility standard of about seventy-five percent (75%) of the Federal Poverty Level (FPL) as well as those in the State’s optional coverage group for low-income elders and adults with disabilities and all populations that qualify for Medically Needy (MN) eligibility under the Medicaid State Plan. The SSI methodology also applies to persons seeking Medicaid Long Term Services and Supports (LTSS). C. The basic tenets of the SSI methodology are established in the Social Security Administration's rules for determining eligibility for SSI which are set forth in federal regulations at 20 C.F.R. § 416.101 et seq. 3.2.2 Authority A. This Part is promulgated pursuant to Federal authorities as follows: