Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 20 - Division of County Operations › Rule 016.20.97-023 - MS 97-8 - Transitional Employment Assistance (TEA) Related Medicaid

Current through Register Vol. 49, No. 6, June, 2024
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New Policy
Summary of Changes
MS 2000 The list of individuals eligible for Medicaid has been
				updated.
MS 2085-2088 The section regarding AFDC-SP, Category 22
				(Stepparent Income Disregard) has been replaced by Transitional Employment
				Assistance (TEA) Related Medicaid, County workers should determine eligibility
				for Category 22 individuals in another category at the next scheduled
				reevaluation.
The new section MS 2085 - 2088 gives eligibility requirements
				and procedures for TEA Related Medicaid.
Inquiries to: Terri Wright, 682-8258 Ann Dawson, 682-8254 Boyce
				Lovett, 682-1562
2000
Individuals Eligible for Medicaid
The following categories of individuals are eligible for
				Medicaid:
1. Individuals eligible for
			 Supplemental Security Income (SSI) benefits (i.e., recipients of straight SSI
			 benefits, mandatory state supplements, SSI conditional payments and SSI
			 presumptive disability payments). Re. MS 2010;
2. Blind or disabled individuals with
			 converted cases who are not considered to be blind or disabled under SSI
			 criteria. Re. MS 2020;
3.
			 Individuals eligible for Medicaid as essential spouses in December 1973 and who
			 continue to meet that eligibility criteria. Re. MS 2025;
4. Medical Only Individuals who are current
			 recipients of SSA; who were previously eligible for and received SSA and SSI
			 concurrently in at least one month after April 1977; and who would now be
			 eligible for SSI if all COLA Increases received since they last received SSA
			 and SSI concurrently were deducted from current income. Re. MS 2030;
5. Medical Only Individuals whose assistance
			 payments were terminated due to the 20% increase in Social Security benefits in
			 September 1972, and who would be currently eligible for assistance payments if
			 the 20% increase in Social Security benefits in September 1972 were
			 disregarded. Re. MS 2040;
6.
			 Disabled widows and widowers who were entitled to SSA for December 1983; who
			 received SSA disability for January 1984; who lost SSI after January 1984, due
			 to elimination of a benefit reduction factor previously applied; who would be
			 SSI eligible if the 1984 reduction factor increase and all COLA'S since 1984
			 were disregarded; and who applied and were found eligible for Medicaid benefits
			 between July 1, 1986, and June 30, 1988. Re. MS 2045;
7. Disabled widows and widowers who were at
			 least age 60 on or after 4/1/88, were not yet age 65 on 4/1/88, formerly
			 received SSI benefits which were terminated due to entitlement to SSA widow's
			 or widower's benefits, currently receive SSA widow's or widower's benefits, are
			 not currently eligible for Medicare, would be eligible for SSI if ALL SSA
			 benefits were disregarded, and are otherwise income and resource eligible for
			 Medicaid. Re. MS 2046;
8. Disabled
			 widows, widowers and disabled surviving divorced spouses who lost their SSI due
			 to receipt of SSA benefits based on a less restrictive definition of disability
			 that was used prior to OBRA of 1990. Re. MS 2049;
9. Qualified Medicare Beneficiaries who
			 qualify under the Medicare Catastrophic Coverage Act of 1988, and whose
			 benefits are limited to Medicare cost-sharing. Re. MS 2047;
10. Specified Low Income Medicare
			 Beneficiaries whose Income is between 100% and 120% of the Federal Poverty
			 Level and who meet all other requirements for the Category will be eligible for
			 payment of their Medicare Part B Premium. Re. MS 2051;
11. Qualified Disabled and Working
			 Individuals who lost Medicare Part A entitlement solely due to Substantial
			 Gainful Activity. Medicaid coverage for these individuals is limited to payment
			 of their Part A premium. Re. MS 2048;
12. Disabled Adult Children (DAC) who are age
			 18 or older, who became disabled or blind before age 22, who were receiving SSI
			 based on disability or blindness, and who lost SSI on or after July 1, 1987 due
			 to a DAC entitlement or a DAC increase. Re. MS 2050;
13. Individuals who were eligible for
			 Medicaid in Title XIX institutions in December 1973. Re. MS 2044.3;
14. Families who lose TEA related Medicaid
			 eligibility due to increased wages and who qualify for up to 12 months of
			 transitional Medicaid. Re. MS
2051;
15.
			 Families who lose TEA related Medicaid eligibility due to collection of child
			 support payments and who qualify for up to 3 months of extended Medicaid. Re.
			 MS 2063;
16. Eligible individuals
			 under age 21 and individuals age 65 and older who are receiving Inpatient
			 psychiatric care in the Arkansas State Hospital or the George W. Jackson
			 Center. Re. MS 2070.
17.
			 Developmentally Disabled Individuals who qualify for Home and Community Based
			 Services. Re. MS 2075;
18. Aged
			 Individuals who qualify for Home and Community Based Waiver Services. Re. MS
			 2076;
19. Newborn Infants born to
			 women determined to be Medicaid eligible when the infant was born. Re. MS
			 2080;
20. Individuals who qualify
			 for services under the Alternatives for Adults with Physical Disabilities
			 Waiver. Re. MS 2078;
21. Disabled
			 children eligible for Medicaid under TEFRA. Re. MS 2090;
22. Illegal aliens who are eligible for
			 emergency services only. Re. MS 2095;
23. Individuals who qualify for retroactive
			 Medicaid eligibility. Re. MS 2100 (applies to all categories except Newborn
			 Infants, PW-PE, QMB, SMB, QDWI, and Waiver Categories. Re. MS 2080, MS 5600, MS
			 2047, MS 2051, 2048, 2075, and 2076);
24. Individuals in Title XIX Long Term Care
			 Facilities who are eligible according to LTC criteria. Re. MS 3000;
25. Women eligible as Pregnant Women who meet
			 the AFDC or Medically Needy standards of need. Re. MS 5000, 7000;
26. Pregnant women, infants and children (up
			 to age 6) whose income does not exceed 133 percent of the Federal Poverty
			 Level, and children ages 6 and older, who were born after September 30, 1983,
			 whose family income does not exceed 100 percent of the Federal Poverty Level.
			 Re. MS 5600;
27. Pregnant Women
			 found presumptively eligible by a Qualified Provider for ambulatory prenatal
			 care. Re. MS 5600;
28. Individuals
			 eligible for the U-18 category. Re. MS 6000;
29. Title IV-E and other Foster Children. Re.
			 MS 6000 and 7000;
30. Non-Title
			 IV-E Adoptive Children with Special Needs. Re. MS 6590;
31. Individuals eligible for the Medically
			 Needy Program. Re. MS 7000;
32.
			 Refugees eligible for Medicaid under "special eligibility period" criteria of
			 the Refugee Resettlement Program;
33. Women found eligible for Family Planning
			 Waiver services and whose benefits are limited to family planning services
			 only; and
34. Individuals found
			 eligible for Transitional Employment Assistance related Medicaid. Re. MS 2085.