Adult Assistance - Eligibility
- What is Medicaid for the Aged, Blind, and Disabled?
- Who is Eligible for Medicaid?
- Long Term Care (Nursing Home)
- Special Assistance (SA Facility)
- Health Coverage for Workers with Disabilities (HCWD)
- Frequently Asked Questions
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WHAT ARE THE BASIC ELIGIBILITY CRITERIA FOR ADULTS? |
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|---|---|---|---|---|
| Program Name | Income | Group Covered | Benefits | Reserve |
| Medicaid-Aged, Blind, Disabled (Categorically Needy) |
$1012(1) $1372(2) |
Supplemental Social Security (SSI) recipient or under 100% federal poverty level | All needed medical care Limit 9 prescriptions |
$2000(1) $3000(2) |
| Medicaid for Qualified Beneficiaries (MQB-Program Q) |
$1012(1)(MQBQ) $1372(2)(MQBQ) |
Couple who Get Medicare | Pays Medicare premiums, co-payments, and deductible (MQBQ) |
$7560(1) $11340(2) |
| Medicaid for Qualified Beneficiaries (MQB-Program B) (MQB-Program E) (MQB-Program E) |
$1214(1)(MQBB) $1646(2)(MQBB) $1366(1)(MQBE) $1852(2)(MQBE) |
Couple who get Medicare Couple who get Medicare |
Pays Medicare premiums (MQBB) Pays Medicare Premiums (MQBE) |
$7560(1) $11340(2) $7560(1) $11340(2) |
| Medicaid-Aged, Blind, Disabled (Medically needy) | $242(1) $317(2) (Deductible may apply if over income) |
Over 65 or disabled through Social Security | All needed medical care; Prescription coverage varies |
$2000(1) $3000(2) |
| Medicaid-Long Term Care | All income except $30/mo goes to Nursing Home | Certified by doctor and approved by EDS (Electronic Data Systems) | All needed medical care | $2000 per person |
| Medicaid-CAP | $903 (deductible may apply if over income) allowed to keep $242 for one person | Certified by doctor, approved by EDS (Electronic Data Systems) | All needed medical care; Prescription coverage varies |
$2000 per person |
