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Adult Assistance - Eligibility


WHAT ARE THE BASIC ELIGIBILITY CRITERIA FOR ADULTS?

Program Name

Income

Group Covered

Benefits

Reserve

Medicaid-Aged, Blind, Disabled
(Categorically Needy)

$903(1)
$1215(2)

Supplemental Social Security (SSI) recipient or under 100% federal poverty level

All needed medical care
Limit 9 prescriptions

$2000(1)
$3000(2)

Medicaid for Qualified Beneficiaries
(MQB-Program Q)

$903(1)(MQBQ)
$1215(2)(MQBQ)

Couple who Get Medicare

Pays Medicare premiums, co-payments, and deductible
(MQBQ)

$6600(1)
$9910(2)

Medicaid for Qualified Beneficiaries
(MQB-Program B)
(MQB-Program E)
(MQB-Program E)

$1083(1)(MQBB)
$1457(2)(MQBB)
$1219(1)(MQBE)
$1640(2)(MQBE)

Couple who get Medicare
Couple who get Medicare

Pays Medicare premiums
(MQBB)
Pays Medicare Premiums
(MQBE)

$6600(1)
$9910(2)
$66001)
$9910(2)

Medicaid-Aged, Blind, Disabled (Medically needy)

$242(1)
$317(2)
(Deductible may apply if over income)

Over 65 or disabled through Social Security

All needed medical care;
Prescription coverage varies

$2000(1)
$3000(2)

Medicaid-Long Term Care

All income except $30/mo goes to Nursing Home

Certified by doctor and approved by EDS (Electronic Data Systems)

All needed medical care

$2000 per person

Medicaid-CAP

$903 (deductible may apply if over income) allowed to keep $242 for one person

Certified by doctor, approved by EDS (Electronic Data Systems)

All needed medical care;
Prescription coverage varies

$2000 per person