A child under age 21 living in the home of his parent(s) has residence in the county of his parents.
A child under age 21 living outside of his parents’ home has residence in the county in which he resides, except a child who is temporarily absent from his parents’ home. See 4. below for determination of temporary absence.
A participant in the Job Corp Program retains the county of residence of the adult caretaker with whom he was residing prior to entering the program.
A student, under age 21, is a resident of the county in which the adult caretaker with whom he was residing prior to admission to school resides.
The exception is a student living independently who has assumed total financial responsibility for his own support (tuition and living expenses) and care. This student has residence in the county in which he resides.
A child under age 18 receiving Title IV-E or Special Needs Adoption Assistance has residence in the county in which the adoption assistance was established. SSI children receiving adoption assistance also have residence in the county in which the adoption assistance was established.
Absence ceases to be temporary at the point a decision is made that the individual will not be returning to the family home within 12 months.
If the county of residence is disputed, counties should contact their Medicaid Program Representative (MPR) for settlement. The county in which the applicant files the application must proceed to process the application without delay. Upon review of all facts in the case, the MPR will notify the counties of the decision regarding residence.
If the county who processed the application is not the county of residence, then that county should immediately contact the Claims Analysis Section of DMA. Additionally, the county should identify any claims charged in error to the county by reviewing the “Recipient Payment Register.” Once claims are identified, notify the Claims Analysis Section in writing of the charges. Include the recipient’s name, individual identification number, and dates of service.
NOTE: This is different from the situation in which a county took a courtesy application and the county of residence refuses to accept the application. For this situation, see MA-3200, Initial Contact.
A person with no fixed or permanent address is a resident of the county where he states his intent to remain. If the individual is incapable of stating his intent to remain, he is a resident in the county in which he is found.
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.