Medicaid Eligibility Policy
Eligibility
Policy
Explanation of the eligibility criteria for Medicaid.
Definition of
Eligibility Group and Section 1902(r)(2)/FFP Limit Issues
PDF-59KB
Questions and answers about the definition of an eligibility group and the
impact of the Final Regulation (effective May 11, 2001) changing the way the
FFP limits apply to less restrictive income methodologies under section
1902(r)(2) of the Act.
SSI Income and Resource Limits, Special
Income Level, SSI Break-Even Points, and Spousal Impoverishment
Standards
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2004 Federal Poverty Guidelines
- All States (Except
Alaska and Hawaii) and DC PDF-86KB
- Alaska
PDF-85KB
- Hawaii
PDF-85KB
2003 Federal Poverty Guidelines
- All States (Except
Alaska and Hawaii) and DC PDF-85KB
- Alaska
PDF-84KB
- Hawaii
PDF-84KB
2002 Federal Poverty Guidelines
- All States (Except
Alaska and Hawaii) and DC PDF-29KB
- Alaska
PDF-28KB
- Hawaii
PDF-28KB
2001 Federal Poverty Guidelines
- All States (Except
Alaska and Hawaii) and DC PDF-63KB
- Alaska
PDF-63KB
- Hawaii
PDF-63KB
2000 Federal Poverty Guidelines
- All States (Except
Alaska and Hawaii) and DC PDF-28KB
- Alaska
PDF-28KB
- Hawaii
PDF-28KB
1999 Federal Poverty Guidelines
- All States (Except
Alaska and Hawaii) and DC PDF-29KB
- Alaska
PDF-28KB
- Hawaii
PDF-28KB
1998 Federal Poverty Guidelines
- All States (Except
Alaska and Hawaii) and DC PDF-29KB
- Alaska
PDF-28KB
- Hawaii
PDF-8KB
1997 Federal Poverty Guidelines
- All States (Except
Alaska and Hawaii) and DC PDF-8KB
- Alaska
PDF-8KB
- Hawaii
PDF-8KB
The above charts show the Federal poverty quidelines, including annual and
monthly breakouts using the percentages commonly applied to various Medicaid
eligibility groups.
Transfer of
Assets
Explanation of the provisions regarding the transfer of assets (both resource
and income) by individuals (or their spouse or someone else acting on their
behalf) residing in long-term care facilities or receiving home and
community-based waiver services.
Treatment of
Trusts
Explanation of the policies regarding the establishment of a trust for a
Medicaid beneficiary and the effect it would have on the individual's
Medicaid eligibility.
Spousal
Impoverishment - PDF 60KB
Explanation of the provisions enacted in 1988 by Congress to prevent
"spousal impoverishment," which is leaving the spouse who is still
living at home in the community with little or no income or resources.
Technical Assistance
Guidance
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Last Modified on Thursday, September 16, 2004
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