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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/ |
5.5.2.1.2 Involuntary Exclusions
5.5.2.2 Fiscal Test Group ( FTG )
Household members who meet all general non-financial requirements (1.1.2) are AFDC-related if s/he is a:
Child less than 19 years old,
Caretaker of a child (3.5.2), or
Pregnant woman, ( medically verified) or,
Under 21 years old and residing in a institution for mental disease ( IMD Institute for Mental Disease ) (5.8.1.1)
21 years old, and residing in an institution for mental disease, and residing there since at least age 20.
Essential person.
Less than 19 years old and residing in a licensed foster home, or licensed child caring institution.
The MA group includes those who requested MA, who were tested and found non-financially eligible.
Children and NLRR can be voluntarily excluded from the AFDC- related MA AG.
A legally responsible relative ( LRR ) and his or her spouse are involuntarily excluded from the group if:
S/he is guilty of Intentional Program Violation ( IPV ).
He is the spouse of a pregnant woman with no children in the home.
S/he is an ineligible alien.
S/he is on strike.
S/he didn’t cooperate with at least one of these requirements: SSN, Child Support, or Third Party Liability.
Involuntary exclusions and deeming follow 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. policy (5.4.7.1).
The FTG includes all household members who are non- financially eligible or who have legal responsibility for anyone within the MA group.
This page last updated in Release Number : 06-02
Release Date: 07/14/06
Effective Date: 07/14/06