Deemed SSI eligible clients. What does that mean?

Clients who have countable income under the SSI standard after allowing the exclusion for Disabled Adult Child (DAC), Pickle/COLA, Widow/Widowers and their SSI was closed because of the receipt of the DAC/COLA/Widow(er) income. These exclusions are described in the SSI-related Medicaid overview . Clients continue to receive CN Medicaid as long as they meet resource criteria. Not every client receiving DAC income is eligible for this exclusion. These are the requirements:

Lost cash payment of SSI after 7/1/88 due to receipt of DAC benefits from SSA or a COLA to those benefits.

Disability onset date prior to age 22

Deemed SSI eligible clients do not pay waiver service participation, they do pay room and board if living in an adult family home, DDCS group home or boarding home (ALFs).

If countable income is over the SSI standard after the exclusion then all income is counted in post eligibility in determining service participation for DDCS waiver clients living in an ALF. This includes DAC income.

Individuals who qualify for the DAC exclusion and countable income after the exclusion is under the SSI standard are referred to as "Protected DAC" cases.

Instructions are found in WAC 182-512-0880 Special income disregards for SSI-related medical programs.