CCS Financial Eligibility

PURPOSE: This rule establishes guidelines for determining financial eligibility for enrollment in Crippled Children’s Service. (1) Financial eligibility guidelines for enrollment in Crippled Children’s Services (CCS) shall be based upon the Poverty Income Guidelines in section (2) of this rule, as established by the United States Department of Health and Human Services. The determination of individual client eligibility shall be based upon the following factors: (A) Total adjusted gross income shall not exceed one hundred eighty-five percent (185%) of the federal poverty income guideline for the family size; (B) Size of family unit shall be the number of persons in the household, including the responsible party(ies) and dependents allowable by the Internal Revenue Service as federal income tax exemptions. If there is more than one (1) eligible CCS client in the household, the total family size shall be increased by one (1) unit for each additional client; and (C) Families or individuals whose income exceeds the one hundred eighty-five percent (185%) poverty level shall be given consideration if the medical cost of an eligible condition, regardless of third-party payment, would bring the income below the one hundred eighty-five percent (185%) poverty level. (2) Poverty Income Guidelines. 1990 Poverty Income Guidelines for All States (Except Alaska and Hawaii) and the District of Columbia Size of Family Poverty Unit Guidelines 1 $ 6,280 2 $ 8,420 3 $10,560 4 $12,700 5 $14,840 6 $16,980 7 $19,120 8 $21,260 AUTHORITY: sections 192.005.2 and 201.060, RSMo 1986.* This rule was previously filed as 13 CSR 50-160.040. Emergency rule filed Dec. 12, 1984, effective Dec. 22, 1984, expired April 20, 1985. Original rule filed Dec. 12, 1984, effective April 11, 1985. Amended: Filed June 2, 1987, effective Aug. 13, 1987. Rescinded and readopted: Filed Nov. 2, 1990, effective April 29, 1991. *Original authority: 192.005, RSMo 1985 and 201.060, RSMo 1959.