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If the deductible was met, met on a date after the first day of the deductible period and before the member dies, recalculate the amount of the deductible. If the new deductible amount will cause the member to meet the deductible on an earlier date, recertify the deductible using that earlier date. Eligibility will be granted from the point from which the deductible was determined to have been met through the date of death. 24.13.2 Prepaid Deductible If the member prepays the deductible and dies after the deductible period starts, the deductible is non- refundable. If the member prepays and dies before the deductible period starts, the deductible is refundable. This page last updated in Release Number: 20-03 Release Date: 08/03/2020 Effective Date: 07/01/2020 24.14 Reserved This page last updated in Release Number: 15-01 Release Date: 06/10/2015 Effective Date: 06/10/2015 25.1 Special Status Medicaid 25.1.1 Special Status Medicaid Introduction SSI recipients in Wisconsin are automatically enrolled in SSI Medicaid and remain eligible for SSI Medicaid as long as they continue to receive SSI. Loss of SSI payments can result in loss of Medicaid coverage. There are special federal Medicaid continuation provisions to protect health care benefits for certain groups of former SSI recipients who receive Social Security payments. These “special status” groups are: • Disabled adult child (DAC) group (see SECTION 25.2 DISABLED ADULT CHILD (DAC) GROUP) • 503 group (see SECTION 25.3 503 GROUP) • Widow/Widower group (see SECTION 25.4 WIDOW/WIDOWER GROUP) When determining eligibility for former SSI recipients who belong to one of these special status groups, the appropriate amount of Social Security income must be disregarded, as described in the policy for each group (see sections linked above). Each group has a specific set of requirements that a person must meet to qualify for a special status income disregard. Simply losing SSI or receiving a certain type of Social Security payment does not automatically qualify someone for a special status disregard. IM agencies are responsible for: 1. Determining whether Social Security beneficiaries who received SSI in the past qualify for special status disregards as a DAC, 503, or Widow/Widower group. 2. Calculating and applying the appropriate Social Security income disregards for these groups when applicable.