Adult Medicaid Manual MA-2100 CATEGORICALLY NEEDY-NO MONEY PAYMENT

II. POLICY RULES FOR CATEGORICALLY NEEDY

A. Meet the eligibility requirements in MA-2000, Non-SSI Eligibility Regulations.

B. Categorically Needy Income Limits (Refer to MA-2260, Financial Eligibility Regulations - PLA.

C. Not exceed the resource limit (Refer to MA-2260, Financial Eligibility Regulations – PLA.

D. Classification

1. Non-HCWD categorically needy individuals have classification “N” or “Q”, if dually eligible.

2. HCWD categorically needy individuals have classification “N” or “G” or, if dually eligible, “”Q” or “B.”

E. Deductible

Individuals evaluated as categorically needy cannot have a deductible. When income exceeds the categorically needy income limit, evaluate as medically needy.

F. Certification/Authorization

Refer to MA-2350, Certification and Authorization.

G. Buy-In

For categorically needy cases, the buy-in effective date is the first day of the first month the recipient is authorized for Medicaid.

Refer to MA-2410, Medicare Enrollment and Buy-In, for procedures.

For questions or clarification on any of the policy contained in these manuals, please contact your local county office.