HAR §17-1722-147
HAR §17-1722-147. Eligibility requirements
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))