This group was created by Section 9116 of the Omnibus Budget SSI/SSP Reconciliation Act of 1987. These are widow(er)s receiving Title II Social Security aged 60 through 64 who are not yet entitled to Part A of Medicare and who became ineligible for payments because of a Title II entitlement or increase. Beginning July 1, 1988, the States must continue to consider these individuals to be SSI recipients for Medicaid purposes until their entitlement for Part A Medicare begins.
Applicants may receive Medicaid if they meet the following criteria:
· | are a widow or a widower, |
· | received SSI payments in the past (before age 60), |
· | on April 2, 1988 or after, they are at least 60 years old, but not yet 65 years old, |
· | no longer receive SSI/SSP because of Social Security payments, |
· | do not have (and are not yet entitled to) Part A Medicare, |
· | meet the other requirements of Medicaid. |
Medicaid continues as long as that individual would be eligible for SSI without the title II benefit or until that individual becomes entitled to Part A Medicare.
Eligibility is determined using SSI income and resource standards. The title II benefit is excluded from income when determining eligibility.
Complete redeterminations annually.
16 Del. Admin. Code § 17000-17150