ADDENDUM - 2
APA Related Medicaid Subtypes
Medicaid Subtype |
Description |
Resource Standard By HH Type |
|
Single |
Couple |
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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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