SSI Related Medicaid Eligibility Requirements

SSI Related Medicaid Eligibility Requirements

Medicaid for low-income individuals who are either aged (65 or older) or disabled is called SSI Related Medicaid. The information below provides basic eligibility criteria. Some programs require additional criteria that are specific to that program.

Aged, Blind or Disabled: an individual must be aged (65 or older) or, if under age 65, blind or disabled. Note: The disability must prevent the individual from working and be expected to last for a period of no less than 12 months, or be expected to result in death. Individuals who receive a disability check from the Social Security Administration (SSA) based on their own disability automatically meet this requirement. A disability determination is completed by SSA or the state Division of Disability Determinations (DDD). DCF Submits requests to DDD after the Medicaid application is received.

Citizenship Status – an individual must be a U.S. citizen or a qualified non-citizen. Note: There may be a waiting period for non-citizens admitted to the U.S. with a qualified status on or after August 22, 1996.

Identity – an individual must provide proof of identity. Exceptions: individuals receiving SSI, Medicare or Social Security Disability based on their own work history.

Residency – an individual must be a Florida resident.

Social Security Number – an individual must have a social security number or apply for one.

File for Other Benefits – an individual must apply for other benefits for which they may be eligible (i.e. pensions, retirement, disability benefits, etc.),

Report Third Party Liability – examples include health insurance or payments by another party.

SSI-Related Income – each program has a specific income limit.

SSI-Related Resources – each program has a specific resource limit.

The SSI-Related Medicaid Financial Eligibility Standards Chart is located at http://www.dcf.state.fl.us/programs/access/docs/esspolicymanual/a_09.pdf.

By | 2018-01-02T15:24:34+00:00 January 2nd, 2018|

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