Adult Medicaid Manual MA-2262 SPONSOR DEEMING

VII. Indigent alien Exemption

An indigent alien is someone that the county agency has determined is unable to obtain food and shelter, taking into account the alien’s own income, plus any cash, food, housing, and other assistance provided by other individuals, including the sponsor(s).

A. Contact the Food Stamp (FS) caseworker to determine if they have determined the a/r is indigent. Use the FS decision as verification of indigence and document the record.

REVISED 07/01/10 – CHANGE NO. 11-10

(VII.)

B. If Food Stamps has determined the a/r is indigent, you:

1. Do not count the sponsor’s income or resources in determining the a/r’s eligibility for Medicaid.

2. Count only the actual amount of cash support from the sponsor provided over a 12-month period beginning with the month of determination.

3. At the next redetermination, re-verify with FS whether the recipient continues to meet the indigence requirements. Each indigent determination is renewable for additional 12-month periods.

C. If the alien a/r has not applied for Food Stamps, advise the a/r to apply so a determination regarding indigence can be made. If the a/r refuses to apply for food stamps, contact the Medicaid Eligibility Unit for assistance in determining indigence.

D. If the alien a/r is found ineligible for Food Stamps, do not consider him indigent and deem the sponsor’s income to the alien.