HAR §17-1722-147

HAR §17-1722-147. Eligibility requirements

Last amended: 2009Length: 275 wordsOfficial source

Cite as Haw. Code R. § 17-1722-147

An individual who is eligible for medical assistance as a DAC shall meet all of the following conditions: (1) Is 18 years of age or older; (2) Is receiving OASDI benefits as a DAC; (3) Received SSI/SSP benefits based on blindness or disability, which began before age 22; (4) Lost SSI/SSP eligibility due to receipt of OASDI benefits as a DAC; (5) Would be eligible for SSI/SSP benefits if the OASDI benefit that caused SSI ineligibility, or an increase in that OASDI benefit, was disregarded; (6) Assigns to the department any benefits from a third party for coverage of medical expenses, to the extent of medical costs paid by the department; and (7) Meets the general eligibility conditions of chapter 17-1714. [Eff 09/10/09 ] (Auth: HRS §346-14; 42 C.F.R. §435.10) (Imp: 42 U.S.C. §1383c(c)) §17-1722-148 Financial eligibility determination. (a) The income and assets of an individual under this subchapter shall be treated as specified under chapters 17-1724 and 17-1725 for a blind or disabled individual. (b) An individual whose countable assets exceed the SSI personal reserve standard shall be ineligible for benefits under this subchapter. (c) The amount of the OASDI benefit that exceeds the SSI/SSP payment standard shall be disregarded. (d) An individual whose countable income after the disregard of OASDI income exceeds the SSI/SSP payment standard shall not be eligible for benefits as a DAC. (e) The disregarded OASDI benefit amount shall not apply to post-eligibility treatment of income for a DAC who is receiving long term care level of service in a nursing home or medical facility. [Eff 09/10/09 UNOFFICIAL 1722-36 ] (Auth: HRS §346-14; 42 C.F.R. §435.10) ((Imp: 42 U.S.C. §1383c(c))