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5.6.4 MUST BE A RECIPIENT

5.6.4.1 SSI Exception

 

To receive an extension, the person must be an AFDC-Medicaid recipient at the time the extension reason occurs.

 

Example 1: Denny, an absent parent, returns to the household.  On a retest of the AFDC-Medicaid AG, Denny's hours of employment and earned income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. close AFDC-Medicaid.  The recipients at the time of closure receive a 12-month Medicaid extension.  Denny does not because he was not an AFDC-Medicaid recipient.  The extension continues as long as Denny, or another member of the last tested AFDC-Medicaid AG, is employed.

 

Example 2: Maurice was under an AFDC-Medicaid sanction.  When the sanction ended, the new AFDC-Medicaid AG, with Maurice as a member, was tested.  It failed because of Maurice's increased hours of employment and increased earned income.  Maurice does not receive the extension because he was not an AFDC-Medicaid recipient at the time AFDC-Medicaid closed.

 

Example 3: George and his 2 children are AFDC-Medicaid recipients.  George's oldest child turns age 19. George's earned income and assigned child support are now too high for an AG of 2.  AFDC-Medicaid closes.  George and both children receive the extension because all were AFDC-Medicaid recipients at the time AFDC-Medicaid closed.

 

 

5.6.4.1 SSI Exception

 

A person who was eligible for both AFDC-Medicaid and SSI and who chose to receive SSI benefits instead of AFDC-Medicaid benefits, may be eligible for a Medicaid extension if s/he loses SSI.

 

Example 1: Mary is eligible for AFDC-Medicaid because she is the caretaker of 2 deprived children. She is eligible also for SSI because of a disability . She chose to receive SSI instead of AFDC-Medicaid.  Her 2 children are AFDC-Medicaid recipients.  Mary got a job. Her earnings put her above the SSI income limit. She then joined her children's AFDC-Medicaid AG. Her earned income caused AFDC-Medicaid to close. Both Mary and her 2 children are eligible for a Medicaid extension.

 

This page last updated in Release Number : 00-04

Release Date :07-01-00

Effective Date : 07-01-00