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1.1.1 DEFINITIONS

1.1.1.1  Family MA

1.1.1.2 EBD MA

1.1.1.3 Special Status MA

 

 

Medicaid, also known as Medical Assistance, MA, and Title 19, is a state/federal program that helps low income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. people pay their medical bills.  A person is eligible if s/he meets all non-financial and financial requirements.

 

Note: An individual could be both AFDC related and EBD related.  An example would be a disabled child or disabled caretaker.  This type of individual is first tested for AFDC related ( Family ) Medicaid.   If they fail the family Medicaid tests, they should then be tested for EBD MA (1.1.1.2).  If an individual is eligible for both Family and EBD Medicaid, s/he can make a choice.  

 

1.1.1.1  Family MA

Family MA is for:
 

  1. Individuals under age 19.

  2. Pregnant women.

  3. Parents and caretaker relatives of children under age 19.  
     

The following are types of Family MA:

 

  1. AFDC-MA AFDC-MA is the category of Medicaid that is based on rules for the Aid to Families with Dependant Children Program (AFDC) that were in effect on July 16, 1996..

  2. AFDC-Related MA.

  3. Healthy Start (5.2).

  4. BadgerCare (5.7).

  5. Foster Care and Adoption Assistance (5.3).

 

 

1.1.1.2 EBD MA
 

EBD MA is elderly, blind, disabled MA.  The client must be:
 

  1. 65 or older, or

  2. Blind or disabled as determined by the Disability Determination Bureau ( DDB ).
     

There are special rules for residents of an institution for mental disease ( IMD Institute for Mental Disease ) under age 21 (5.8.1.1).

 

The following are types of EBD MA:
 

  1. Institutional MA (5.8).

  2. Non-institutional EBD MA.

  3. Community Waivers (5.9).

  4. Medicaid Purchase Plan ( MAPP The Medicaid Purchase Plan (MAPP) offers people with disabilities who are working or interested in working the opportunity to obtain health care coverage through the Wisconsin Medicaid Program. ) (5.12).

  5. 1619 (5.11.5).

  6. Katie Beckett (5.11.6).

  7. Medicare beneficiaries (5.14).

  8. SSI.

  9. TB related MA 5.11.7

  10. Family Care 5.13.

 

 

1.1.1.3 Medicare Buyins

  1. Medicare Beneficiaries 5.14

 

 

1.1.1.4 Other MA Subprograms

  1. Family Planning Waiver (5.15).

  2. Emergency Services 3.2.3

  3. SeniorCare 5.16

  4. Wisconsin Well Woman MA 5.17

 

 

This page last updated in Release Number: 07-05

Release Date: 07/10/07

Effective Date: 07/10/07