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(4) Individuals who are younger than twenty-one (21) years of age and who reside in a public institution or who are inmates of a penal or correctional institution, or of institutions licensed by penal or correctional agencies, are not eligible for Medicaid. Such individuals are not eligible for Medicaid when they are temporarily absent from such institution while residing in a maternity home, foster care home or facility, or a medical facility. C. Supplemental Security Income (SSI) Recipients. (1) All individuals, including their categorically eligible spouses, who receive SSI benefits are eligible for Medicaid. (2) Individuals eligible as essential spouses in December 1973 are eligible for Medicaid. Eligibility is determined in accordance with Title XIX of the Social Security Act and the federal regulations promulgated in accordance therewith. (3) SSI recipients who are in suspense status due to the development of a representative payee for the individual are eligible for Medicaid. D. Optional State Supplement (OSS) Recipients. All individual who receive an OSS payment are eligible for Medicaid. E. Refugee Assistance Recipients. (1) All persons whose needs are included in a Refugee Assistance payment are eligible for Medicaid. (2) All persons who are eligible to be included in a Refugee Assistance payment because of limited income and resources, but who desire to receive medical assistance only are eligible for Medicaid. (3) Refugees who are determined to be medically needy by the ‘‘spend-down’’ method are eligible for Medicaid. F. 1977 Title II Pass-Along Provision of the Social Security Act. Medicaid is available under this provision to those individuals who lost their eligibility for cash assistance due to a Social Security cost- of-living increase and who meet the requirements of Title XIX of the Social Security Act and the federal regulations promulgated in accordance therewith. G. Individuals Who Would Be Eligible for Cash Assistance If Outside the Institution. (1) Medicaid is available to individual who would be eligible for cash assistance if they were not residing in an institution provided they meet the eligibility requirements of Title XIX of the Social Security Act and the federal regulations promulgated in accordance therewith. (2) Individuals who have no income may also be eligible under this provision provided they have applied for and are awaiting receipt of payment under the SSI program. H. Institutionalized Individuals Who Are Eligible Under a Special Income Level. (1) An individual may be eligible for MAO, including a medical institution vendor payment, if he meets all of the following requirements: (a) Resides in a Title XIX certified medical facility and meets the requirements to be considered institutionalized as defined by Title XIX of the Social Security Act and the federal regulations promulgated in accordance therewith; (b) Meets SSI criteria for either age, disability or blindness; (c) Meets all SSI financial eligibility criteria except for the income limitation; (d) Has been certified by CLTC for the level of care in which he resides. (2) SSI categorical and financial eligibility criteria are found in Title XVI of the Social Security Act and in the Program Operations Manual System published by the Social Security Administration, U.S. Department of Health and Human Services. (3) To be eligible for MAO as an aged, blind or disabled person, an individual’s or couple’s gross monthly income shall not exceed the Medicaid Cap. Gross monthly income is the individual’s or couple’s total earned and unearned income as defined under the federal regulations of the SSI Program. (4) An income averaging procedure shall be used for individuals who receive Medicaid and who receive variable income.