December 1973 Eligibility Requirements Manual

1020.000.00 Institutional Residence (OAA, PTD, and AB)

RSMo 208.010 states in subsection 2.(7) that benefits are not payable to any claimant who ‘is an inmate of a public institution, except as a patient in a public medical institution’.

Federal regulations prohibit payment of benefits to claimants, under age 65, in an institution for mental diseases or tuberculosis.

Federal regulations require the Family Support Division to establish agreements with State institutions providing treatment for mentally ill individuals, age 65 or older, for whom payment is made under the Missouri Medicaid State Plan.

The agreements between the State agencies and the State institutions are designed to assure a framework of cooperation between State entities, the Missouri Medicaid State Plan requirements are adhered to, and federal laws and regulations are observed.

NOTE: To determine the claimant’s State of residence, refer to 1015.000.00 Residence (OAA, PTD, and AB).