|
|
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/ |
5.8.4.1 Institutionalized Person
5.8.4.3 SSI Recipient and Institutional MA application
"Institutionalized person" means someone who:
Participates in Community Waivers, or
Has resided in a medical institution for 30 or more consecutive days, or
Is likely to reside in a medical institution for 30 or more consecutive days, as attested to by the medical institution.
An exception to the 30-day period is that a resident of an IMD Institute for Mental Disease is considered an institutionalized person until s/he is discharged.
The 30-day period includes situations in which the person resides in more than one medical institution during 30 or more consecutive days.
A “community spouse” is:
Married to an institutionalized person, and
Not living in a nursing home or other medical institution for 30 or more consecutive days.
An SSI recipient who has resided or is likely to reside in a medical institution for 30 days or more may apply and be non-financially eligible for institutional Medicaid if the SSA will discontinue the person's SSI because of the financial effect of his/her residence in the medical institution.
An SSI recipient who has not resided or is not likely to reside in a medical institution for 30 days or more is non-financially ineligible for institutional Medicaid. The person remains Medicaid eligible through SSI.
This page last updated in Release Number: 07-03
Release Date: 04/18/07
Effective Date: 04/18/07