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24.1 SSI Related Medicaid Introduction

SSI-related Medicaid is the original, basic Medicaid program for individuals who are elderly, blind, or disabled. SSI related individuals must meet all appropriate Medicaid nonfinancial eligibility requirements. SSI related Medicaid has the lowest income and asset limits of all EBD Medicaid programs/categories. It has two income limits which are referred to as the categorically needy limit and the medically needy limit.  

 

Allow the following income disregards and expenses to the fiscal group's income in the order below to determine the countable net income.

 

A fiscal group with countable net income that does not exceed the categorically needy income limit passes the Medicaid SSI-related categorically needy income test.

 

If a fiscal group’s countable net income exceeds the categorically needy income limit, their income is then compared to a medically needy limit of 100% FPL, which is found in Section 39.4 Elderly, Blind, or Disabled Assets and Income Tables. If the fiscal group’s countable net income is between the categorically needy limit and the medically needy limit, the group passes the Medicaid SSI-related medically needy income test.

 

If a fiscal group fails the medically needy income test because their countable net income exceeds the medically needy income limit, they can still qualify for Medicaid if they can meet a Medicaid Deductible. Refer to chapter 24.2 Medicaid Deductible Introduction for more information about Medicaid Deductibles and to chapter 24.5 Calculating the Deductible for instructions on how to calculate a Medicaid Deductible.    

 

See Section 39.4 Elderly, Blind, or Disabled Assets and Income Tables for more information.

 

 

 

 

This page last updated in Release Number: 21-01
Release Date: 03/29/2021
Effective Date: 03/29/2021