Widow/Widowers An individual 60> receiving early widows or - - PDF document

Widow/Widowers

• An individual 60> receiving early widow’s
• r widower’s insurance benefits or

receiving other benefits under section 202

• f the Social Security Act, but is eligible to

receive widow/widowers benefits

• Would be eligible for SSI payments if s/he

were not receiving such benefits

• Not entitled to Medicare Part A benefits

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Widow/Widowers

1st Disregard

• Will remain eligible for Medicaid as long as the

following criteria are met

• 60 years of age or older
• Applies for and is receiving an early widow(er)s’

insurance benefit, or other benefits under section 202

• f the Social Security Act, but is eligible to a receive

widow(er)s benefit

• Becomes ineligible for SSI as a result of receiving

such benefit

• Would be eligible for SSI payments if s/he were not

receiving such benefits

• Not entitled to Medicare Part A benefits
• 87 ADM - 27

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Widow/Widowers, cont’d.

• Certified disabled widow/widower who lost

SSI and MA benefits due to an actuarial adjustment in 1983

• Have been receiving widow/widower’s

benefits since Jan 1984 and also received an SSI benefit in the month of January 1984, but since lost SSI benefit due to the increase in widow/widower’s benefits

• 87 ADM - 27

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• Eligible for Medicaid providing they meet the

following criteria

• Certified disabled widow(er) who was entitled to a

widow(er)s benefit and SSI benefit in January ‘84

• Lost SSI and MA benefits due to an actuarial adjustment

and increase in the widow(er)s benefit in ‘83

• Became eligible for a widow(er)’s benefit prior to age 60

and have continued to receive their widow(er)’s benefits since January 1984

• Would continue to be eligible for SSI if the amounts of the

1/84 adjustment and any COLAs were disregarded

• 87 ADM-27

43

Widow/Widowers

2nd Disregard

Widow/Widowers, cont’d

• Payment Status Code (SDX field 217)
• NO1
• Medicaid Eligibility Code (SDX field 216)
• W
• Case Type (WMS)
• 20
• NYC case type remains a 22 until the final

determination

• SSI Status (screen 2)
• 5

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