Family and Children's Medicaid MA-3415 CLASSIFICATION AND EVALUATION

III. REQUIREMENTS

A. Deductible

1. Categorically Needy and MIC-1: Do not have a deductible. If the income exceeds the categorically needy or poverty income limit, the case is ineligible under Categorically Needy or MIC-1. Evaluate as Medically Needy.

2. Medically Needy: Cases with excess income must meet a deductible to become eligible for Medicaid.

REISSUED 12/01/10 – CHANGE NO. 16-10

(III)

B. Buy-in

1. Categorically Needy: The buy-in effective date is the first day of the first month the recipient is authorized for Medicaid. Categorically Needy (C) Federal Financial Participation (FFP) is available for the Part B Medicare buy-in. Categorically Needy (N) FFP is not available for the Part B Medicare buy-in. The Part B premium is paid solely with State and county funds.

2. Medically Needy: The buy-in effective date is the first day of the second month following authorization for Medicaid. Medically Needy (M) FFP is not available for the Part B Medicare buy-in. The Part B premium is paid solely with State and county funds.