N.M. Admin. Code § 8.281.400.19

Current through Register Vol. 35, No. 17, September 10, 2024

Section 8.281.400.19 - SSI STATUS

The ISD worker determines whether an applicant or recipient's SSI eligibility will continue while they are institutionalized.

A.Applicant/recipient currently eligible for SSI: If an applicant or recipient will not continue to be eligible for SSI while institutionalized, the ISD worker processes the application regardless of the fact that SSA will not terminate SSI benefits until the month following the month the applicant or recipient enters an institution.

B.Applicant not currently receiving SSI: If an applicant or recipient is not receiving SSI or has not applied for SSI before applying for medicaid and their gross income is less than $50, the ISD worker processes the application and refers the applicant to the SSA for determination of eligibility for SSI benefits. If an applicant's gross monthly income is $50 or more but not in excess of the maximum allowable income standard, the ISD worker determines eligibility for institutional care medicaid based on remaining financial and nonfinancial criteria.

N.M. Admin. Code § 8.281.400.19

2/1/95; 8.281.400.19 NMAC - Rn, 8 NMAC 4.ICM.427, 7/1/03, Adopted by New Mexico Register, Volume XXIX, Issue 24, December 27, 2018, eff. 1/1/2019, Amended by New Mexico Register, Volume XXXII, Issue 07, April 6, 2021, eff. 5/1/2021