Mississippi Administrative Code › Title 23 - Division of Medicaid › Part 200 - General Provider Information › Chapter 3 - Beneficiary Information › Rule 23-200-3.1 - Eligibility Groups

Current through June 25, 2024
A. Persons eligible
				for Full Medicaid Benefits
1. Low-income
				families with children under age eighteen (18) who meet pre-reform Aid to
				Families with Dependent Children (AFDC) and income criteria, as certified by
				the Division of Medicaid.
2.
				Children in licensed foster family homes or private child care institutions for
				which public agencies in the State of Mississippi are assuming financial
				responsibility as certified by the Department of Human Services (DHS). Children
				in foster care on their eighteenth (18th) birthday are certified as eligible by
				the Division of Medicaid until their twenty-first (21st) birthday.
3. Children receiving subsidized adoption
				payments as certified by DHS.
4.
				Children under the age of six (6) whose family income is equal to or below 133%
				of the federal poverty level (FPL) as certified by the Division of
				Medicaid.
5. Infants born to
				Medicaid-eligible mothers are eligible for the first (1st) year of the infant's
				life provided the mother was eligible during her pregnancy and the child lives
				with her.
6. Children under age
				nineteen (19) who have family income below 100% of the FPL as certified by the
				Division of Medicaid.
7. Certain
				disabled children age eighteen (18) or under who live at home but who would be
				eligible if in a medical institution and who receive medical care at home that
				would be provided in a medical institution, as certified by the Division of
				Medicaid.
8. Persons age sixty-five
				(65) or over, blind or disabled, and who receive Supplemental Security Income
				(SSI) grants as certified by the Social Security Administration
				(SSA).
9. Persons in medical
				facilities who meet long term care criteria as certified by the Division of
				Medicaid.
10. Certain former SSI
				beneficiaries who continue to meet SSI criteria except for income, as certified
				by the Division of Medicaid.
11.
				Persons provided home and community based waiver services that are physically
				disabled and certified by the Division of Medicaid as eligible by applying the
				eligibility requirements as if they are institutionalized.
12. Working disabled persons whose earnings
				do not exceed 250% of the FPL, as certified by the Division of
				Medicaid.
13. Women under age
				sixty-five (65) who are uninsured and have been screened and diagnosed for
				breast and/or cervical cancer under the Centers for Disease Control (CDC)
				screening program administered by the Mississippi State Department of Health
				are covered during the course of their cancer treatment.
14. Medicaid-eligible children under age
				eighteen (18) remain eligible for Medicaid for twelve (12) continuous months,
				provided eligibility has been correctly established.
15. Evidence of eligibility is demonstrated
				by the Medicaid identification (ID) card. Payment of claims can only be made
				for person's certified as eligible by DHS, SSA or the Division of
				Medicaid.