Department of Human Services: Chapter10 - Section 10.5 thru 10.8
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IMA POLICY MANUAL
PART IV:  NON-FINANCIAL ELIGIBILITY REQUIREMENTS
 
FOSTER CARE CHILDREN 10.5
 
MA 
Children receiving foster care payments are categorically eligible for Medicaid (see Chapter 12:  Categorical Eligibility in this Part).
TANF 
Children receiving foster care payments are ineligible for benefits.  When determining the eligibility and benefits of other household members, none of the foster child's income or assets (including the foster care payment) are considered available to the group.
 
GC
See TANF
 
FS  
Children receiving foster care payments can be included or excluded from the group.  If a foster child is included in the unit, all income and assets of the foster child are counted when determining the group's eligibility and benefits.  If the foster child is excluded from the unit, none of the child's income or assets are considered.

 
GROUP LIVING FACILITIES (WHICH RECEIVE BENEFITS UNDER TITLE II OR  TITLE VII OF THE SOCIAL SECURITY ACT)   10.6
 
MA 
N/A
 
TANF 
N/A
 
GC
N/A
 
FS  
Disabled or blind residents of a group living arrangement who receive benefits under Title II or Title XVI of the Social Security Act may voluntarily apply for the FS program.  If these residents apply through use of the facility's authorized representative, their eligibility will be determined as one-person groups.  If the residents apply on their own behalf, the group size will be in accordance with the required characteristics outlined in Chapter 1:  Group Composition in this Part.
 
The SSR will certify these residents using the same provisions that apply to all other groups.  Prior to certifying any residents for FS, the SSR must verify that the group living arrangement is authorized by FNS or is certified by the D.C. Department of Consumer and Regulatory Affairs, Service Facility Regulation Administration, Social Services Facility Division, including a determination by that office that the center is a non-profit organization.
 
The SSR must have the EBT card available for pick-up no later than seven calendar days following the date the application was filed for blind or disabled residents of group living arrangements receiving benefits under Title II or Title XVI of the Social Security Act when the facility acts as the resident's authorized representative and the resident is entitled to expedited service.
 
If a resident who is having his/her group living arrangement act as an authorized representative is entitled to expedited service, the SSR must have the EBT card available for pick-up no later than seven calendar days following the date the application was filed.  A resident applying on his/her behalf is responsible for overpayments (see Section 6.3:  Reporting of Overpayments in Part VIII) as would any other group.
 
The group living arrangement may purchase and prepare food to be consumed by eligible residents on a group basis if residents normally obtain their meals at a central location as part of the group living arrangement services or if meals are prepared at a central location for delivery to the individual residents.  If residents purchase and/or prepare food for home consumption, as opposed to communal dining, the group living arrangement must ensure that each resident's food stamps are used for meals intended for that resident.
 
If the resident retains use of his/her own allotment, s/he may either use the benefits to purchase meals prepared for him/her by the facility or to purchase food to prepare meals for his/her own consumption.
 

LONG-TERM CARE FACILITIES  10.7
 
ALL LTC facilities are licensed:
  • Skilled nursing facilities (SNF),
  • Skilled nursing units (SNU),
  • Intermediate care facilities (ICF),
  • Intermediate care facilities for the mentally retarded (ICF-MR), and 
  • Psychiatric institutions.
MA 
Applicants residing in LTC facilities are eligible for assistance (see Chapter 2:  Long-Term Care/
Impoverished Spouse in Part VII). 
 
TANF  A person who is in a LTC facility for the entire calendar month is ineligible for assistance for that month.
 
GC
See TANF
 
FS  
Individuals in a LTC facility are ineligible for FS unless the facility is authorized by the FNS to accept FS.
 

PENAL INSTITUTIONS  10.8
 
ALL A person is considered an inmate of a penal institution until s/he is released:
  • On bail,
  • As not guilty,
  • On parole,
  • On pardon, or 
  • Upon completing his/her sentence.
Individuals involuntarily residing in a halfway house are considered inmates.
 
MA 
Adult inmates who would be eligible for Medicaid if they were not incarcerated are eligible for Medicaid coverage for in-patient procedures including, but not limited to, labor and delivery.  Such individuals are not eligible for out-patient or ambulatory care services through Medicaid.
 
If individuals under age 21 in penal facilities require inpatient medical care, they are eligible for Medicaid coverage for the period of the inpatient hospital stay.
 
TANF 
Inmates are not eligible for TANF
GC
See TANF
 
FS  
See TANF