Applicant's Choice of Category 510-03-30-10

(Revised 5/1/2017 ML #3498)

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(N.D.A.C. Section 75-02-02.1-06)

 

An individual, who could establish eligibility under more than one category, such as between ACA Medicaid categories and Non-ACA Medicaid categories or within the ACA Medicaid categories may have eligibility determined under the category the individual selects. A hierarchy of these Categories of Eligibility has been established and can be found in the Reference Hard Card section of this manual at 510-03-105-05.

 

Individuals eligible as QMBs and SLMBs are eligible as aged, blind or disabled for that coverage but may also establish eligibility under the ACA Medicaid categories as a caretaker/relative or pregnant woman. An individual who is not a caretaker relative who has Medicare coverage cannot chose to be covered under ACA Medicaid Expansion.

 

SSI recipients must first be tested for eligibility under Non-ACA Medicaid and only if they fail Non-ACA Medicaid (such as excess assets) may they be tested under ACA Medicaid. This also applies to SSI recipients who are pregnant women.