(Revised 7/1/14 ML #3406)
(N.D.A.C. Section 75-02-02.1-06)
An individual who could establish eligibility under more than one category , such as between Non-ACA categories and ACA categories, may have eligibility determined under the category the individual selects. An individual may establish eligibility under only one category except for QMBs and SLMBs. Individuals eligible as QMBs and SLMBs are eligible as aged, blind or disabled for that coverage but may also establish eligibility under the ACA Categories, (but not the Adult Expansion Group).
SSI recipients must first be tested for eligibility under non-ACA Medicaid methodologies and only if they fail non-ACA methodologies (such as excess assets) may they be tested under one of the ACA categories. This also applies to SSI recipients who may be pregnant women. See also “Blindness and Disability” 510-05-35-100 and "Disability and medically Frail 510-03-35-100", for information as how to treat non-SSI disabled individuals.