Adult Medicaid Manual MA-2000 NON-SSI ELIGIBILITY REGULATIONS

II. CATEGORICAL REQUIREMENTS FOR NON-SSI MEDICAID COVERAGE GROUPS

A. MAA

To receive under MAA the individual must be aged 65 or older.

B. MAB

To receive under MAB the individual must be legally blind according to the SSI definition of disability. Blindness is defined as central visual acuity of 20/200 or less in the better eye with the use of a correcting lens or a limitation in the field of vision of the better eye that meets certain criteria. (Also evaluate for HCWD. See MA 2180.)

C. MAD

To receive under MAD an individual must:

1. Be disabled according to the SSI definition of disability. The SSI definition of disability is: A physical or mental impairment which prevents an individual from engaging in any substantial gainful activity (or for a child under 18, an impairment of comparable severity) and which has lasted or is expected to last for at least 12 months or is expected to result in death. (For HCWD, substantial gainful activity is not a consideration. See MA 2180.)

2. Be under age 65.

REVISED 07/01/10 - CHANGE NO. 11-10

(II.)

D. MQB-Q

To receive under MQB-Q an individual must be enrolled in Medicare (Part A and/or B).

E. MQB-B

To be eligible under MQB-B an individual must be enrolled in Medicare Part A.

F. MQB-E

To be eligible under MQB-E an individual must be enrolled in Medicare Part A.

G. M-WD

To be eligible under MWD an individual must have lost entitlement to Medicare Part A solely due to earnings in excess of the Substantial Gainful Activity threshold as determined by SSA.