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Primary RU Secondary RU Nature of Dependency Actions Needed Optional Eligibility Groups More Restrictive Requirements than SSI under 1902(f) – (209(b) States) The selection of the Medically Needy Populations Based on Age, Blindness or Disability eligibility group in section B of the Optional Eligibility Groups RU (primary), affects the requirements displayed in the More Restrictive Requirements than SSI under 1902(f) – (209(b) States) RU (secondary). You must complete, save and validate the primary RU, including the selection of Medically Needy Populations Based on Age, Blindness or Disability, before you can complete the secondary RU. Once the primary RU is approved in MACPro, it does not have to be included again in a submission package unless the medically needy election changes, in which case the secondary RU also has to be included again. Handling of Excess Income (Spenddown) More Restrictive Requirements than SSI under 1902(f) – (209(b) States) Unless the Handling of Excess Income (Spenddown) RU (primary) has either been approved in MACPro or is included, completed and validated in the submission package, the More Restrictive Requirements than SSI under 1902(f) – (209(b) States) RU (secondary) cannot be displayed. If the secondary RU will not display because the primary RU is neither approved in MACPro nor included in the package: Add the primary RU to the package, complete it and validate it. Alternatively, remove the secondary RU from the package. More Restrictive Requirements than SSI under 1902(f) - (209(b) States) Individuals in 209(b) States Who Are Age 65 or Older or Who Have Blindness or a Disability Unless the More Restrictive Requirements than SSI under 1902(f) - (209(b) States) RU (primary) has either been approved in MACPro or is included, completed and validated in the submission package, the Individuals in 209(b) States Who Are Age 65 or Older or Who Have Blindness or a Disability RU (secondary) cannot be displayed. If the secondary RU will not display because the primary RU is neither approved in MACPro nor included in the package: Add the primary RU to the package, complete it and validate it. Alternatively, remove the secondary RU from the package.