Eligibility Online Manual
Eligibility Online Manual
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M1005C Goldberg Kelly
M1005C Goldberg Kelly
Purpose: This section will assist in determining whether an individual is eligible for Medicaid benefits under Goldberg Kelly.
Purpose: This section will assist in determining whether an individual is eligible for Medicaid benefits under Goldberg Kelly.
Current Policy Effective Date: September 1, 2010
Date Last Reviewed: March 31, 2010
Previous Policy: October 1, 2009
POL M1005C: DETERMINING ELIGIBILITY FOR GOLDBERG KELLY
1. SSA Determines Goldberg Kelly Eligibility
SDX shows eligibility with a Medicaid eligibility code of “G.”
2. Applicants Potentially Eligible Under Another Medicaid Coverage Group
If the SDX shows a Medicaid test indicator code “S,” determine if the applicant is eligible under another Medicaid coverage group.
Reference:
Reference:
Defining Group: 42 CFR 435.120
Clarifying Information:
Clarifying Information:
1. Goldberg Kelly is defined as a Supreme Court decision requiring a client be given written notice prior to reduction, suspension or termination of SSI.
2. SSI payments will continue at the previous rate when a timely appeal is filed. These payments will continue until a decision is made.
3. These individuals are eligible for Medicaid benefits and are authorized through the SDX.
Worker Responsibilities:
Worker Responsibilities:
Determining Eligibility When Clients on SDX With Test Indicator Code “S”
1. Require an DHCF-300 Disability Application.
2. Determine eligibility under another Medicaid coverage group.
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