0815.000.00 Vendor Eligibility

IM-136 September 1, 2020; IM-33 March 29, 2012

If the applicant/child is disabled, determine eligibility using MO HealthNet for Disabled Children (MHDC) criteria (see 0805.020.00 Medical Assistance for Disabled Children (MADC)).

• If the child meets the definition of living with his/her parent(s) at the time s/he entered the facility (expected to remain in the facility for 30 days or less):

1. 1. Deem the resources of the parents when determining eligibility. This includes a stepparent who is married to the biological or adoptive parent residing in the home, and parents who are same-sex couples.
   2. Deem the income of the parent(s) according to 0805.020.15 Deeming Parental Income when completing the surplus determination.

• If the disabled child was not living with his/her parent at the time s/he entered the facility (expected to remain in the facility for more than 30 days):

1. 1. Consider only the individual child’s (and their spouse’s) resources when determining eligibility. Do not deem the resources of the parents.
   2. Do not deem the income of the parent(s) when completing the surplus determination.

If the applicant/child is not disabled, determine eligibility for a child under age 18 based on MHF or MHK criteria for poverty level children (see 1810.000.00 MO HealthNet for Families (MHF) and 1830.000.00 MO HealthNet for Kids (MHK) – Non-CHIP Coverage).

Note: Children institutionalized temporarily who are eligible at this level of care, will be immediately dis-enrolled from Managed Care.