5104-7        INDIVIDUALS INCLUDED IN THE HOUSEHOLD AND WHOSE INCOME AND RESOURCES DO COUNT, BUT WHO ARE NOT ELIGIBLE FOR COVERAGE

Parents living in the same home as a dependent child may have their needs included in the household, even though they are disqualified for Medicaid coverage for themselves.  These parents are kept in the household so that the child is not penalized for the disqualifying actions of the parent.  The disqualified parent’s resources and income do count in determining financial eligibility. These individuals include:

1. The parent of a dependent child, when the parent is disqualified from Medicaid eligibility for failure to cooperate with CSSD Child Support Services Division ;
    

2. The parent fails to provide or verify information under Section 5000-4;
    

3. The parent of a dependent child, when the parent is ineligible because of income deemed from a spouse who is only a stepparent to the dependent child.
    

4. The parent of a dependent child, when the parent is disqualified from Medicaid eligibility because the parent is a qualified alien subject to the 5-year bar or is a non-qualified alien.  This also includes any siblings that are non-qualified aliens.  See Section 5011-5.

5. A mandatory household member found ineligible for Medicaid for failure to provide verification of their own citizenship and identity or immigration status.  See Section 5011.