229 CHILDREN WITH SEVERE DISABILITIES (CSD) (MAM)

SR 15-03 Dated 01/15

Previous Policy

_____________________________________________________________

Children with Severe Disabilities (CSD) is a Medicaid eligibility category under the Children's Medicaid (CM) category that uses Modified Adjusted Gross Income (MAGI) in the categorically-needy eligibility determination process. Applicants and recipients of CSD do not have to meet the specific FANF requirements of deprivation of support or care of a parent or living with a specified relative, to be eligible for CSD assistance. Application for CSD medical assistance is made online, on paper DFA Form 800, Application for Assistance, DFA Form 800MA, Application for Health Coverage & Help Paying Costs, or Form 800HR, HEIGHTS-generated Application for Assistance, if application for the program is being made by a recipient of another program during the individual's redetermination/recertification.

To be eligible, the child must:

. be under 19 years of age.

. meet the financial requirements listed below; and

. meet the Disability Determination Unit (DDU) disability criteria.

CSD MA Financial Requirements

Assistance Group

Age Limit

Income Limit

Resource Limit

Categorically-Needy CSD (uses MAGI in the financial eligibility determination process)

< 18 years

Net income can not exceed 196% of the FPL. See 601, Table G, Medically Needy Medical Assistance Net Income Limits and Percentages of Poverty Guidelines.

None

Medically-Needy CSD (does not use MAGI in the financial eligibility determination process)

< 18 years

Net income can not exceed the PIL (Protected Income Level). See 601, Table G, Medically Needy Medical Assistance Net Income Limits and Percentages of Poverty Guidelines.

Medically-needy resource limit using the CSD medically-needy resource deduction. See Section 407.03, Medically Needy Medical Assistance, and Section 605.03, Children with Severe Disabilities (CSD) Medically-Needy Resource Deduction Table.

References: He-W 841.01, He-W 841.04, RSA 126-A:3,VIII, 42 CFR 435.218, 42 CFR 435.603, 42 CFR 435.911, 42 USC 1396a