Medicaid Policy                                                                 

382 Medically Complex Children Waiver (MCC)

Effective Date: October 1, 2015

 

No Previous Policy

 

General Criteria

This waiver is for children under age 19 with a medically complex condition.  The child can remain eligible through the month of their nineteenth birthday.

 

Children must meet general non-financial Medicaid criteria.

They must meet a disability Medicaid category found in section 303.

The Office of Long Term Care Services and Supports (OLTSS) determines the need for the level of care for this waiver.

 

Asset Requirements

The individual must meet the asset requirements found in policy section 573.

 

Income Requirements

Use only the individual’s total income. Only the following types of income are not considered:

Austrian Reparation Payments

German Reparations Payments made by the Federal Republic of Germany.

Japanese and Aleutian Restitution Payments.

Netherlands Reparation Payments based on Nazi, but not Japanese, persecution during World War II.

Payments from the Agent Orange Settlement Fund or any other fund established pursuant to the settlement in regard to Agent Orange product liability litigation.

Radiation Exposure Compensation.

VA pensions limited to $90 per month under 38 U.S.C. 5503.

Subsidized Adoption payments

Subtract from total income the deductions found in section 431-12.

Any amount left is the amount of contribution to cost of care.