Eligibility Online Manual
Eligibility Online Manual
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M1005E 1619
M1005E 1619
Purpose: This section will assist in determining whether an individual is eligible for Medicaid benefits as a 1619.
Purpose: This section will assist in determining whether an individual is eligible for Medicaid benefits as a 1619.
Current Policy Effective Date: September 1, 2010
Date Last Reviewed: April 5, 2010
Previous Policy: January 1, 2007
POL 1005E: DETERMINING ELIGIBILITY FOR 1619
1. Social Security Administration (SSA) Determines Eligibility
The SDX shows eligibility with a code of “A,” “B,” or “F.”
2. Applicants May Be Eligible Under Another Medicaid Coverage Group
If the SDX shows a Medicaid test indicator code of “C,” “D,” “E,” “G,” “H,” “J,” “K,” “L,” or “M” determine if the applicant is eligible under another Medicaid coverage group.
Reference:
Reference:
Defining Group: 42 CFR 435.120
Clarifying Information:
Clarifying Information:
1. Section 1619 of the Social Security Act provides benefits for disabled or blind individuals who are SSI eligible except for earned income.
2. 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 “C,” “D,” “E,” “G,” “H,” “J,” “K,” “L,” or “M”
1. Require an DHCF-300 Disability Application.
2. Determine eligibility under another Medicaid coverage group.
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