Eligibility Online Manual
M1005H Widow Widowers SDX
Purpose: This section will assist in determining whether an individual is eligible for Medicaid benefits under Widow Widowers through the SDX.
Current Policy Effective Date: September 1, 2010
Date Last Reviewed: April 5, 2010
Previous Policy: January 1, 2007
POL M1005H: DETERMINING ELIGIBILITY FOR WIDOW WIDOWERS SDX
Social Security Administration (SSA) Determines Eligibility
The SDX shows eligibility with a Medicaid eligibility code of “W”.
Benefits are automatically authorized in WES.
Applicants May Be Eligible Under Another Medicaid Coverage Group
If the SDX shows a Medicaid test indicator code “R,” determine if the applicant is eligible under another Medicaid coverage group.
Reference:
Defining Group: 42 CFR 435.120
Clarifying Information:
Worker Responsibilities:
Determining Eligibility When Clients on SDX With Test Indicator Code “R”
1. Require an DHCF-300 Disability Application.
2. Determine eligibility under Widow Widowers, or another Medicaid coverage group.