Appendix D: Procedures for Establishing Medical Assistance Eligibility

The Automated process for determining MA eligibility reviews eligibility for MA applicants, MA recipients, and TANF recipients who are due to stop getting benefits in the following order:

1. Presumptive Eligibility for Pregnant Women (see Chapter 318)

2. Foster Care/Adoption Subsidy (see Supplemental Handbook, Chapter 850)

3. Long-Term-Care Facility and Home and Community-Based Services (see Long-Term Care Handbook)

4. Extended NMP Special Circumstances (see Chapter 387.6)

5. Refugee Unaccompanied Minor (see Supplemental Handbook, Chapter 730)

6. Healthy Horizons (see Chapter 319)

7. SSI-related NMP (see Chapter 368)

8. NMP for the Family (see Chapter 368)

NOTE:  When determining whether other family members are eligible for SSI-related NMP/Healthy Horizons, the CAO must include the following individuals in the NMP for the Family budget group:

NOTE:  Children between over age 18 and under age 21 who is eligible for SSI-related NMP/HH may be included.

The CAO must assign each eligible individual to the correct SSI-related NMP/Healthy Horizons category.

9. Automatic Medical Coverage Extensions ( Chapter 338)

The CAO will use one of the following Automatic Medical Coverage Extensions that best meets the family’s needs:

NOTE:  Determine eligibility for EMC for the entire family if the entire family is not eligible for NMP. Persons found eligible for EMC are identified as PC/PU 71.

10. Healthy Beginnings (see Chapter 318)

11. RMA—Non-SSI/Non-pregnant (see Supplemental Handbook, Chapter 730)

12. TANF and GA-related NMP (see Chapter 369)

NOTE:  Persons found eligible for NMP using this method are identified as PC/PU 00.

13. Special eligibles.

Breast and Cervical Cancer Prevention and Treatment (BCCPT) (see Chapter 317)

14. Income-ineligible pregnant women (see Chapter 318)

15. Special eligibles (SSI-Related).

Medical Assistance for Workers with Disabilities (MAWD) (see Chapter 316)

16. Home and Community-Based Services for individuals with AIDS or symptomatic HIV (see Long-Term Care Handbook)

17. SSI, TANF, and GA-related MNO (see Chapter 369)

NOTE:  The CAO will determine eligibility for MNO for other family members.

18. Income-Ineligible Newborn (see Chapter 318)

19. RMA—Family with Children (see Supplemental Handbook, Chapter 730)

20. SSI-Ineligible Children (PJ 98) (see Section 387.65)

21. Children with Special Needs (PH 95).

22. Healthy Horizons Cost-Sharing (see Chapter 319)

23. Medicare Buy-In (payment of monthly Medicare premiums) (see Chapter 388)

24. Prison Inmate—children (see Supplemental Handbook, Chapter 850)

25. Special Eligibles – SelectPlan for Women (PSF-00)

Updated February 14, 2012, Replacing June 28, 2007