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
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All States
(Except Alaska and Hawaii) and DC PDF-86KB
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Alaska
PDF-85KB
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Hawaii
PDF-85KB
2003 Federal Poverty Guidelines
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All States
(Except Alaska and Hawaii) and DC PDF-85KB
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Alaska
PDF-84KB
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Hawaii
PDF-84KB
2002 Federal Poverty Guidelines
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All States
(Except Alaska and Hawaii) and DC PDF-29KB
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Alaska
PDF-28KB
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Hawaii
PDF-28KB
2001 Federal Poverty Guidelines
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All States
(Except Alaska and Hawaii) and DC PDF-63KB
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Alaska
PDF-63KB
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Hawaii
PDF-63KB
2000 Federal Poverty Guidelines
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All States
(Except Alaska and Hawaii) and DC PDF-28KB
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Alaska
PDF-28KB
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Hawaii
PDF-28KB
1999 Federal Poverty Guidelines
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All States
(Except Alaska and Hawaii) and DC PDF-29KB
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Alaska
PDF-28KB
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Hawaii
PDF-28KB
1998 Federal Poverty Guidelines
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All States
(Except Alaska and Hawaii) and DC PDF-29KB
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Alaska
PDF-28KB
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Hawaii
PDF-8KB
1997 Federal Poverty Guidelines
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All States
(Except Alaska and Hawaii) and DC PDF-8KB
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Alaska
PDF-8KB
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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, November 04, 2004
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