December 1973 Eligibility Requirements

1040.015.15 Institutionalized Individual

An ‘institutionalized individual’ is an inpatient in a nursing facility, or who is an inpatient in a medical institution for whom payment is or would be made based on level of care provided in a nursing facility.  This includes all claimants, who are in a medicaid certified bed in a NF, ICF-MR, Mental Hospital at least age 65 or under age 21, or in the Personal Care Services program.