POL M1302: DETERMINING ELIGIBILITY FOR THE TUBERCULOSIS PROGRAM

1. Applicants Must Meet Basic Eligibility Factors

Refer to Section M600 for a description of all basic eligibility factors.

2. Applicants Must Be Screened For Medicaid Program Eligibility

Applicants must be screened for eligibility in other Medicaid programs before being considered for the Tuberculosis Assistance Program.

3. Applicants Must Provide Verification Of Tuberculosis Infection

Verification of infection must be provided within 30 days.

4. SSI Eligibles Do Not Need To Submit Application

If SSI is lost, an application will be required to redetermine eligibility.

5. Applicants Must Meet Income Requirements

Countable income must be within the maximum income standard per month. Refer to Medicaid Table 1A for income standards. Refer to Section M901 to determine if income is countable.

6. Clients Must Be Reviewed

Clients must be periodically reviewed every 12 months to determine continued eligibility. Refer to Section M1403 for information on reviewing eligibility.

A review is not required for SSI clients.

Clients must be reviewed for other Medicaid program eligibility before closing cases.

7. Clients May Lose Benefits

The case will close on the first day of the next month when any of the following occur:

• Client does not complete review.

• Client enters a public institution, excluding the Geriatric Hall at the State Hospital in Evanston.

• Client dies.

• Client no longer has active TB infection.

• Client moves out of state.

• Client determined no longer eligible.