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Medicaid long-term services and supports are: Community Medicaid EAD, including the Medically needy pathway as specified in Parts 40-05-1 and 40-05-2 of this Title and above, the Sherlock pathway, as set forth in § 1.9 of this Part, and the Ticket to Work Program as set forth in § 1.10 of this Part. The SSI work-related income disregards indicated in § 1.5(B)(1) of this Part are applied and a disability determination by the MART or SSA is required. 2. Medicaid LTSS – MAGI-eligible working adults with disabilities who meet the level of care requirements for Medicaid long-term services must be determined disabled to obtain work-related services and supports. If income exceeds the MACC group limit due to earnings from work, eligibility may continue to be available through the LTSS/SSI-related pathways including LTSS Medically needy (§ 1.8 of this Part), the Sherlock pathway (§ 1.9 of this Part), or the Ticket to Work Program (§ 1.10 of this Part). The SSI work-related income disregards indicated in § 1.5(B)(1) of this Part are applied and a disability determination by the MART or SSA is required. 1.8 Medicaid Long-term Services and Supports (LTSS) 1.8.1 Eligibility Determination Process A. Adults with disabilities who are seeking LTSS – both current Medicaid beneficiaries and new applicants – who do not qualify for MACC group LTSS are evaluated for eligibility across the pathways set forth in Part 50-00-1 of this Title using the SSI methodology. Accordingly, they may qualify for the work-related income disregards identified in § 1.5(B)(1) of this Part in the eligibility determination process. If a beneficiary is eligible for multiple LTSS options, the beneficiary may choose their eligibility group. B. In accordance with Part 50-00-5 of this Title, all applicants/beneficiaries seeking LTSS must meet clinical/functional level of care criteria. A separate disability determination by the SSA or MART is not required for applicants/beneficiaries who meet the clinical/functional level of care criteria for Medicaid LTSS unless the person is seeking LTSS through the Sherlock Plan or Ticket to Work Program. 1.8.2 Service Plan A. All Medicaid LTSS beneficiaries must have a service plan that ties benefits to their functional and clinical needs. If employment supports are needed, the role of work, if any, and any associated employment supports must be a component of this plan. For LTSS beneficiaries choosing home and community-based services, the service plan must reflect the decisions they make about their health goals established in the person-centered planning process set forth in 42 C.F.R. § 441.301 and in Part 50-10-1 of this Title. The development of a service plan is