Children Receiving Waiver Services

Determine ongoing eligibility for ME-Waiver Medicaid if a Form H1200 is received by the 30th day. If eligible, ME-Waiver Medicaid remains active through the end of the month the child turns 18.

Applications submitted by the child, or their parent or authorized representative do not need an associated Form H1746-A.

Applications submitted by program providers, including managed care organizations (MCOs), local intellectual and developmental disability authorities (LIDDAs) and local authorities (LAs), on behalf of a child must include an associated Form H1746-A.

If SSA reinstates SSI benefits while the child is active under ME-Waiver Medicaid, SSI Medicaid is suppressed, and ME-Waiver Medicaid remains active. This avoids future gaps in coverage.

If SSI benefits are active when the child turns 18, ME-Waiver Medicaid ends. The system automatically reinstates SSI Medicaid.

If SSI benefits are not active when the child turns 18, ME-Waiver Medicaid remains active and follows the regular renewal process.