WIPA Archived Conference Call
Understanding Special Medicaid Benefits
January 21, 2010
This two hour training session will provide a detailed description of the three types of Special Medicaid Benefits provided to certain groups of former SSI recipients:
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Individuals who lost their SSI due to eligibility for or an increase in CDB payments;
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Former SSI recipients who would otherwise be eligible for SSI except for cost-of-living allowances received in SSDI payments (Pickle Amendment people); and
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Individuals who lost SSI due to eligibility for or an increase in DWB payments.
The session will focus on how eligibility for these special protected classes is determined as well as how paid work affects eligibility for Special Medicaid Benefits. Advice will also be provided on how to support beneficiaries in applying for these Medicaid benefits and how to avoid or correct common eligibility determination errors made by State Medicaid agencies. Upon completion of this training, participants will:
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Identify and describe the three different categories of Special Medicaid Beneficiaries.
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Describe the eligibility requirements for Special Medicaid Benefits for each of the three categories.
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Describe how paid employment affects eligibility for Special Medicaid Benefits.
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Identify common problems beneficiaries encounter when eligibility determinations for Special Medicaid Benefits are made and describe ways of overcoming these common problems.
Resource Documents:
| Link | File type |
|---|---|
| Special Medicaid CMS Paper | |
| Pickle Screening Tool | Word |
| POMS Special Medicaid Beneficiaries | Word |
| Special Medicaid Beneficiaries | Word |
| Special Medicaid Beneficiaries (PowerPoint) | PPT |

