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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
5.4.3.2 Involuntary Exclusions
The non-financial test must include these in the filing unit:
The child’s natural or adoptive parents and
Minor blood-related or adoptive siblings.
Caretaker relatives must submit an application for all household members who are required to be in the non-financial eligibility test. They must also provide the information necessary for the agency to make a determination of eligibility.
All people in the household who are non-financially eligible form the 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. group. Count the income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. of the adults and minors. Deem to the group a portion of the income from adults not in the AFDC-MA group but who are legally responsible for eligible persons in the group.
The following can choose to be excluded.
Parents and full and half siblings of a pregnant minor or minor caretaker.
A step-parent if there is no eligible child in common.
A minor who receives adoption assistance ( AA ).
A non-legally responsible relative ( NLRR ) A non-legally responsible relative (NLRR) caretaker is a caretaker who has no legal responsibility for the minor or 18 year-old under his/her care., their spouse and any children of theirs.
Stepchild who has no half-siblings of the stepparent.
Individual who failed the essential person test (3.5.4).
An alien granted temporary status under IRCA. (ops memo 97-53).
An NLRR child, such as a nephew.
An LRR and his or spouse who are excluded from the group for any of these reasons is involuntarily excluded.
The individual is:
Guilty of Intentional Program Violation ( IPV ).
The spouse of a pregnant woman with no children in the home.
An ineligible alien.
A striker.
Not cooperating with at least one of these requirements: SSN, Child Support, or Third Party Liability.
Do not include SSI and foster care recipients in the filing unit, nor count their income and assets. Do not include offender working without pay or parent in the military.
This page last updated in Release Number : 04-03
Release Date : 08/02/04
Effective Date : 08/02/04