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All Medicaid Programs |
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Obsolete Policy |
Members who are going through the disability determination process may be eligible on a different medical program while awaiting a disability determination. If Social Security or the State Medicaid Disability Office later decides the person is disabled, the member may be eligible for Disabled Medicaid for all or some of the past months.
The available benefits
may be different under Disabled Medicaid than it was under the Adult Expansion
program. If the member will
have a spenddown on Disabled Medicaid, the member has the choice of whether
to pay the spenddown for the past months. If the member does
not want to pay the spenddown, do not change their eligibility from the
previous medical program for those months.
Adults who have received coverage under the Adult Expansion program may be eligible for Disabled Medicaid coverage back to the date the disability began.
Eligibility may begin as early as three months before the month the application was received, but no earlier than the date of the disability onset. See 705 to determine the retroactive period.
A disabled member who meets the criteria for the Adult Expansion can remain on the Adult Expansion program. It is the member’s choice.