Former Supplemental Security Income (SSI) Recipient Eligibility

Former Supplemental Security Income (SSI) Recipient Eligibility A. Cost of Living (COL) Medicaid eligibility is granted to certain individuals who lost Supplemental Security Income (SSI) eligibility as a result of a cost of living increase received in Title II Social Security benefits after April 1977. 1. The individual must have been eligible for and receiving both Title II and SSI benefits in at least one month prior to SSI termination. 2. The individual must be eligible for SSI but for the cost of living increases received since SSI terminated. Aggregate cost of living increases are disregarded from Title II benefits received by the eligible individual and the ineligible spouse or parent(s) whose income is deemed to the eligible adult or child. 3. The Division of Medicaid is required to notify individuals who lose SSI at the time a cost of living increase is received about the availability of possible COL eligibility for three (3) consecutive years after SSI terminated unless the individual is currently Medicaid eligible. B. Disabled Adult Child (DAC) Medicaid eligibility is granted to certain individuals who lost SSI eligibility due to entitlement to or an increase in Title II child’s insurance benefits after July 1987. 1. The individual must be at least age eighteen (18). 2. The individual’s disability must have begun before age Twenty-Two (22). 3. The individual lost SSI due to receipt of child’s insurance benefits or due to an increase in benefits payable from a parent’s record. The amount of the increase or the amount of the benefit that caused SSI to terminate is the amount that is disregarded from income for Medicaid eligibility purposes. The individual must remain otherwise eligible for SSI. C. Widow(er)s Without Medicare eligibility is granted to widow(er)s who lost SSI eligibility as follows: 1. Widow(er)s age fifty (50)-sixty-four (64) must be otherwise eligible for SSI except for early receipt of social security benefits. 2. These widow(er)s must have received a SSI benefit payment the month before their Title II payments began. 3. They must not be entitled to Medicare, Part A. Eligibility for Medicaid in this category ends when the widow(er) becomes entitled to Medicare. 4. The widow(er) must be eligible for SSI except for receipt of Title II widow(er) benefits and any other Title II benefit that resulted in the termination of SSI. Widow(er)s age sixty (60) to age sixty-four (64) must have lost SSI on or after July 1, 1988. Widow(er)s age fifty (50) – fifty-nine (59) must have lost SSI on or after January 1, 1991.