Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 477 - MEDICAID ELIGIBILITY › Chapter 27 - ELIGIBILITY FOR THE AGED, BLIND, AND DISABLED; MEDICALLY NEEDY; QUALIFIED DISABLED WORKING INDIVIDUALS; MEDICAID INSURANCE FOR THE WORKERS WITH DISABILITIES; BREAST AND CERVICAL CANCER; EMERGENCY MEDICAL SERVICES ASSISTANCE; AND KATIE BECKETT › Section 477-27-002 - AGED, BLIND, AND DISABLED (ABD)

Current through June 17, 2024
Medicaid for aged, blind, and disabled (ABD) provides medical coverage
	 for individuals who meet the criteria specified below.
002.01
MANDATORY
  GROUPS.
Certain individuals are eligible to receive Medicaid in
  the aged, blind, and disabled (ABD) category due to current or prior
  participation in the Supplemental Security Income (SSI) program. A separate
  application for Medicaid must be submitted before eligibility can be
  determined.
002.01(A)
SUPPLEMENTAL
  SECURITY INCOME (SSI) RECIPIENTS.
Nebraska residents who are
  currently receiving benefits from the Supplemental Security Income program are
  eligible to receive Medicaid in the aged, blind, and disabled (ABD) category.
  The Supplemental Security Income (SSI) program is responsible for verifying the
  individual's income, resources, and the determination that an individual is
  disabled.
002.01(B)
1619B BENEFICIARIES.
A blind or disabled individual is
  eligible if the individual received Medicaid and Supplemental Security Income
  (SSI) in the month before the month in which this reference applies and whose
  Supplemental Security Income (SSI) payment stopped due to the level of earnings
  and who is determined by the Social Security Administration (SSA) to have
  special Medicaid status under section 1619(b) of the Social Security Act, as
  amended. The Social Security Administration (SSA) is responsible for verifying
  the income, resources, disability status, and 1619(b) eligibility of the
  individual.
002.01(C)
FORMER SUPPLEMENTAL SECURITY INCOME (SSI) RECIPIENTS.
Certain former recipients of benefits from the Supplemental Security Income
  (SSI) program remain eligible for Medicaid benefits after losing the ability to
  receive Supplemental Security Income (SSI) program benefits. For each category
  below, all of the following requirements must be met in order to be considered
  a member of the category.
002.01(C)(i)
DISABLED EARLY WIDOWS OR WIDOWERS.
These individuals
  are also referred to as additional reduction factor (ARF) widows or widowers.
  All of the following must be met:
(1) Have
  been determined disabled;
(2) Were
  receiving Supplemental Security Income (SSI) in December, 1983 and lost
  Supplemental Security Income (SSI) benefits in January, 1984 due to the
  elimination of a benefit reduction factor for widows or widowers before the
  attainment of age 60;
(3) Have been
  continuously entitled to the Title II widow or widowers benefit based on
  disability since January, 1984;
(4)
  Applied for benefits under this group prior to July 1, 1988 or a later date
  established under the court order in Darling v. Bowen; and
(5) Would continue to be eligible for
  Supplemental Security Income (SSI) benefits, including the resource standard,
  if the client had not received the increase in Title II benefits.
002.01(C)(ii)
DISABLED
  ADULT CHILDREN (DAC).
This population is also known as childhood
  disability beneficiaries (CDB). All of the following must be met:
(1) Lost Supplemental Security Income status
  after November 10, 1986 due to the mandatory receipt or increase in Title II
  benefits on a parent's record due to the retirement, death, or disability of
  the parent;
(2) Are age 18 or
  older;
(3) Blindness or disability
  began before age 22; and
(4) Would
  continue to be eligible for a Supplemental Security Income (SSI) payment,
  including the resource standard, if they were not receiving the Title II
  disabled adult child benefit.
002.01(C)(iii)
SECTION 503
  GROUP.
This population is commonly referred to as the Pickle
  Amendment Group. All of the following factors must be met:
(1) Is currently receiving Title II
  income;
(2) Was eligible for and
  receiving Supplemental Security Income (SSI) benefits concurrently with Title
  II income for at least one month after April 1, 1977; and
(3) Lost Supplemental Security Income (SSI)
  benefits, but would continue to receive it, including the resource standard, if
  the amount of cost-of-living increases received from Title II income after the
  month in which Supplemental Security Income (SSI) benefits were lost were
  deducted from the current Title II benefit. The cost-of-living increases
  include the increases received by the individual, the individual's spouse, or a
  financially responsible family member.
002.01(C)(iv)
EARLY WIDOWS OR
  WIDOWERS.
This population is also known as COBRA widows or
  widowers. All of the following factors must be met:
(1) Lost Supplemental Security Income (SSI)
  benefits due to the mandatory receipt of Title II benefits;
(2) Is not yet eligible for Medicare Part
  A;
(3) Has attained age 50, but is
  not yet age 65; and
(4) Would
  continue to be eligible for Supplemental Security Income (SSI) if not receiving
  Title II benefits.