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

  1. Social Security Administration (SSA) Determines Eligibility

The SDX shows eligibility with a Medicaid eligibility code of “W”.

Benefits are automatically authorized in WES.

  1. 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.