ADDENDUM - 2

APA Related Medicaid Subtypes

 

Medicaid Subtype

Description

Resource Standard By HH Type

Single

Couple

AS

Waivered Assisted Living

$2,000

$3,000

BB

Individual lost SSI /APA eligibility from 1977 SSA COLA ”Pickle Person”

$2,000

$3,000

BC

Breast and Cervical Cancer

N/A

N/A

BE

Disability exams (blindness), with or without need for HCB Waiver Determination. Non-standard coupon.

Info Only

Info Only

DC

Under 18, Receiving SSI      

Info Only

Info Only

DE

Applicant who requires an AD-2, and, if needed, an HCB Waiver Determination.

Info Only

Info Only

DK

Disabled Kid (TEFRA)

$2,000 for child.  Disregard parent resource.

N/A

DW

Working Disabled Medicaid Buy-In

$10,000

$15,000

GF

Individuals eligible for State APA cash program(s) in December 1973

$2,000

$3,000

IL

Illegal alien, SSI /APA related

$2,000

$3,000

IN

Long Term Care  (Nursing Home or HCB Waiver)

$2,000

$3,000

IP

Residential Psychiatric Treatment Center Waiver

$2,000

$3,000

NH

Nursing Home  (eligible for SSI or APA if not institutionalized)

$2,000

$3,000

NS

Ineligible for SSI /APA because of requirements which do not apply to Medicaid (use for SSI eligible individuals who have not applied for SSI )

$2,000

$3,000

PM

Section 1619(b) eligible individuals.  See Manual Section 530-E ;or

Info Only

Info Only

Disabled Adult Children; or

$2,000

$3,000

Disabled Widowers who have lost SSI or APA due solely to receipt of title II benefits

$2,000

$3,000

QD

Qualified Disabled and Working Individuals (QDWI)

$4,000

$6,000

QM

Qualified Medicare Beneficiaries (QMB)

$8,580

$13,620

RC

SSI individual refusing APA cash payments

Info Only

Info Only

SA

Ineligible for SSI /APA because of alien sponsor deeming

$2,000

$3,000

SI

Receiving SSI and institutionalized, or SSI and waiver, would otherwise receive APA Cash

Info Only

Info Only

SL

Specified Low Income Medicare Beneficiary.  

(SLMB)

$8,580

$13,620

SS

Individuals eligible for SSI or state supplemental payments except for the 20% Social Security Benefit increase (OASDII) in 1972.

$2,000

$3,000

ST

Receiving APA, no SSI

$2,000

$3,000

WD

Waiver applicant who does not require a disability determination, but does need a waiver determination.  

Eligibility is for the cost of a Waiver Agency's assessment for Waiver eligibility.  Non-standard coupon.

Info Only

Info Only

 

 

 

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MC #35 (01/15)