Page 1883

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 41 Chapter 23 Specific Medicaid Requirements

23.11.2 DEEMED SSI RECIPIENTS 23.11.2.A Disabled Adult Children (DAC) Income Assets N/A N/A An individual is eligible for Medicaid as a Disabled Adult Child (DAC) when all of the following conditions are met: • He is at least 18 years old; • He became disabled or blind before reaching the age of 22; • He was eligible for SSI based on disability or blindness; and, • He lost SSI eligibility as a result of becoming entitled to or receiving an increase in child's insurance benefits. Eligibility is determined by SSA and communicated to the DOHS through data exchange. The client must not be required to apply for this coverage group. 23.11.2.B Blind, Disabled – Substantial Gainful Activity (SGA) Income Assets N/A N/A Persons who receive SSI due to a disabling impairment, but who also engage in substantial, gainful activity, are eligible for Medicaid even though their SSI payments may stop. Eligibility for this coverage group is determined by SSA. There are no special procedures for this coverage group and the client is not required to apply for Medicaid.

loading…

Page 1883

Official source

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 41 Chapter 23 Specific Medicaid Requirements

23.11.2 DEEMED SSI RECIPIENTS 23.11.2.A Disabled Adult Children (DAC) Income Assets N/A N/A An individual is eligible for Medicaid as a Disabled Adult Child (DAC) when all of the following conditions are met: • He is at least 18 years old; • He became disabled or blind before reaching the age of 22; • He was eligible for SSI based on disability or blindness; and, • He lost SSI eligibility as a result of becoming entitled to or receiving an increase in child's insurance benefits. Eligibility is determined by SSA and communicated to the DOHS through data exchange. The client must not be required to apply for this coverage group. 23.11.2.B Blind, Disabled – Substantial Gainful Activity (SGA) Income Assets N/A N/A Persons who receive SSI due to a disabling impairment, but who also engage in substantial, gainful activity, are eligible for Medicaid even though their SSI payments may stop. Eligibility for this coverage group is determined by SSA. There are no special procedures for this coverage group and the client is not required to apply for Medicaid.