Policy History for 1.1.2 NON-FINANCIAL

Release 06-02

 

1.1.2 NON-FINANCIAL

1.1.2.1 Additional Family Requirements

These requirements apply to all types of MA, unless specifically stated otherwise.  The client must:
 

  1. Provide a Social Security Number ( SSN ) or be willing to apply for one.  
     

If the caretaker is unwilling to provide or apply for the SSN of a minor or dependent 18-year-old, the person who does not have the SSN is ineligible.

Do not require an SSN for:

    1. Continuously eligible newborns.

    2. Pre-adoptive infants living in a foster home.

    3. Unqualified aliens receiving emergency services.

  1. Be a Wisconsin resident (3.1). 

  2. Be a U.S. citizen or qualified alien (3.2).  This does not apply to aliens receiving emergency services (3.2.3).

  3. Be living in the household.

A household is all the people living in or temporarily absent (3.5.6) from the same residence.  In addition to regular household members, include:

    1. Huber law prisoners who are released from jail to attend to the needs of their families.

    1. People in a community residential confinement program.  The Department of Corrections ( DOC ) electronically monitors them.

Do not include the following in the household:

    1. Inmates of a public institution.

      Note:        If an inmate resides outside of a public correctional institution for more than 24 hours at any one time, s/he can qualify for MA during that time period if s/he meets all other eligibility criteria.

  1. If an inmate is a prisoner in jail, prison, or other correctional institution, but resides outside of the public correctional institution for more than 24 hours at any one time, do not consider him/her an inmate for that time period (3.1.9).  S/he can qualify for MA during that time period if s/he meets all other eligibility criteria.

  1. SSI recipients.  

SSI recipients are actually receiving SSI benefits, including MA, or would be receiving benefits except for recoupment.

A client is not an SSI recipient if s/he is eligible for SSI but has not received benefits.

  1. Provide information on health insurance coverage (6.3.3.2).  
     

  2. Sign over to the state their rights to payments from a third party for their medical expenses (3.3.1).
     

  3. Cooperate with Medical Support Liability ( MSL ) (3.3)

  Deny or terminate eligibility for caretakers who refuse to cooperate, unless there is good cause.  This is applicable to anyone who is applying for Family MA or EBD MA.   The Child Support Agency ( CSA ) will inform you in writing of those who are not cooperating.  

 

Example:  Liz, a disabled parent, is applying for MA for her and her son, Steve.  She refuses to cooperate with the child support agency in the pursuit of medical support liability.  Liz meets all other non-financial and financial criteria for Family MA and EBD MA.  

Liz is not eligible for EBD MA or Family MA, because she will not cooperate with obtaining medical support.  Even though Liz refuses to cooperate with obtaining medical support, Steve remains eligible for MA.

Do not sanction minors, dependent 18 year olds, and pregnant women until two months after the pregnancy ends.

  1. Cooperate with verification requests when information is deemed questionable (1.2).
     

  2. Meet any additional criteria that is specific to the subprogram of MA that s/he is being tested for.  Any non-financial criteria specific to a particular subprogram of MA will be listed in the chapter relating to that subprogram.
     

  3. Not be an inmate of a public institution (see  3.1.9).
     

1.1.2.1 Additional Family Requirements

In addition to the non-financial requirements listed in 1.1.2, a client applying for Family MA must not be on strike (3.4).  Do not sanction anyone on strike who is pregnant, a minor, over age 65, blind or disabled, on a MA extension or a Family Planning Waiver applicant/recipient.

This page last updated in Release Number: 06-02

Release Date: 07/14/06

Effective Date: 07/14/06