16 Del. Admin. Code § 13000-13400
Medicaid eligibility is acknowledged to be the most intricate piece of a very complex program. Designed in 1965 as a medical program for persons on existing welfare programs, the Medicaid Program originally served those eligible for Aid to Families with Dependent Children (AFDC) or for the programs now encompassed by the Supplemental Security Income (SSI) program.
Since 1965, there have been many additional groups of eligibles added to the Medicaid Program.
For local eligibility workers, assuring that a client's eligibility is appropriately determined can present a challenge. As eligibility errors can result in substantial financial penalties, workers must carefully determine eligibility.
The following subsections in 13400 give a brief synopsis of the various eligibility groups. Refer to specific sections for eligibility requirements.
16 Del. Admin. Code § 13000-13400