Basic Eligibility
Certification, Authorization and Classification
Confidentiality
Financial Responsibility
Budgeting
100

The reserve limit for HCWD.

$30,828

100

An individual’s income exceeds the categorically needy levels are classified as

Medically Needy

100

Written policy relevant to the administration of the Medicaid program, such as Medicaid eligibility policy manuals is considered

Not confidential 

100

This individual is 18 or older and is requesting Medicaid.

Medicaid Individual

100

Converting weekly pay to a monthly amount, the case manager will multiply average income by this amount. 

4.3

200

The MAABD Program Category for Applicant/Beneficiaries under age 65

Medicaid for the Disabled

200

These are the classifications found in the Adult Medicaid Program.

C,N,M,Q,B,E

200

To safeguard the applicant's/beneficiary's information

Confidentiality 

200

A couple that are both requesting Medicaid. 

Medicaid Couple
200

This type of budgeting is due to a court case and has been employed since January 1995. It is a way to determine if income is being counted as a whole for an individual or a couple or if income is being deemed from an ineligible spouse or parents. 

SSI Budgeting Methodology

300

This category is not considered a qualified alien.

Undocumented Alien

300

These two classifications are eligible for payment of the Medicare Part B premium only.

MQBB and MQBE

300

This form is used to report information to the Local Social Security Office.

DMA-5049

300

This couple consist of one a/b and the other spouse does not receive SSI, AAF or CAP. This spouse is also not requesting Medicaid. 

Medicaid Individual with an Ineligible Spouse

300

This amount is deducted as a general exclusion. 

$20.00

400

A house is a this type of living arrangement. 

PLA

400

This program a client can not be dually eligible for. 

MQBE

400

This is required to release information from the client's case to the local police department. 

A court-order subpoena.

400

David age 59 applies for Medicaid today.  His wife Donna is a current SSI recipient, thus already receiving Medicaid. David will be classified as. 

 Medicaid Individual 

400

A quarterly income amount is convert into a monthly amount by

Dividing by 3

500

There is a 5-year mandatory disqualification period for certain qualified aliens if admitted on or after what date.

8/22/1996

500

This classification has no set 6/12 month certification period. Once approved, they remain eligible through 12/31 of the current year.

MQBE

500

This is in place to ensure that client confidentiality is protected and that only information necessary in the administration of the program is exchanged. 

Safeguards

500

In spouse for spouse financial responsibility ceases at the beginning which month when a couple separates.

2nd

500

Patrick receives RSDI of $948.00 a month. The case manager finds out Patrick is working part time at the Krusty Krab. He turns in his pay stub 10/2/XX $152.00, 10/16/XX $201.00, 10/30/XX $87.00. His total month income is. (Before all deductions)

$1,263.33

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