16 Del. Admin. Code § 17000-17155
Section 5103 of the Omnibus Budget Reconciliation Act (OBRA) 1990 created this group of Medicaid eligibles effective January 1, 1991. These are certain widow(er)s with disabilities who lose SSI/SSP because they began receiving Title II Social Security disabled widows benefits. They are deemed to be SSI recipients for Medicaid purposes until they are entitled to Medicare.
15 DE Reg. 202 (08/01/11)
Applicants may receive Medicaid if they meet the following criteria:
| · | are a widow or a widower; |
| · | were eligible for a SSI/SSP payment in the month before the month the disabled widows benefit began; |
| · | would continue to be eligible for an SSI/SSP payment if they were not receiving the disabled widows benefit; |
| · | are not yet entitled to Medicare Part A; |
| · | meet the other requirements of Medicaid (residency, assignment of rights, etc.) |
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 § 17000-17155