N.M. Admin. Code § 8.215.400.10

Current through Register Vol. 35, No. 21, November 5, 2024

Section 8.215.400.10 - SUPPLEMENTAL SECURITY INCOME (Categories 001, 003, and 004)

A. The human services department (HSD) has an agreement under Section 1634 of the Social Security Act with the social security administration (SSA) for SSA to make medicaid eligibility determinations. Supplemental security income (SSI) recipients (categories 001, 003, and 004) who receive an SSI cash payment or are Section 1619(b) recipients automatically have medicaid eligibility unless they fail to meet the assignment of rights or third party liability requirements; or HSD has determined ineligibility under the medicaid trust provision.

B.Section 1619(b) recipients: To qualify for continuing medicaid coverage, a 1619(b) individual must:

(1) have been eligible for an SSI cash payment for at least one month; and

(2) still meet the disability requirement; and

(3) still meet all other non-disability SSI requirements; and

(4) need medicaid benefits to continue to work; and

(5) have gross earnings that are insufficient to replace SSI, medicaid and publicly funded attendant care services.

N.M. Admin. Code § 8.215.400.10

Adopted by New Mexico Register, Volume XXIX, Issue 24, December 27, 2018, eff. 1/1/2019