This group was created by Section 9116 of the Omnibus Budget SSI/SSP Reconciliation Act of 1987. These are widow(er)s receiving Title II Social Security aged 60 through 64 who are not yet entitled to Part A of Medicare and who became ineligible for payments because of a Title II entitlement or increase. Beginning July 1, 1988, the States must continue to consider these individuals to be SSI recipients for Medicaid purposes until their entitlement for Part A Medicare begins.

Applicants may receive Medicaid if they meet the following criteria:

• are a widow or a widower,

• received SSI payments in the past (before age 60),

• on April 2, 1988 or after, they are at least 60 years old, but not yet 65 years old,

• no longer receive SSI/SSP because of Social Security payments,

• do not have (and are not yet entitled to) Part A Medicare,

• meet the other requirements of Medicaid.

Medicaid continues as long as that individual would be eligible for SSI without the title II benefit or until that individual becomes entitled to Part A Medicare.

Eligibility is determined using SSI income and resource standards. The title II benefit is excluded from income when determining eligibility.

Complete redeterminations annually.

17155 Disabled Widows/Widowers (Age 50-59)

Section 5103 of the Omnibus Budget Reconciliation Act (OBRA) 1990 created this group of Medicaid eligibles effective January 1, 1991. These are certain disabled widow(er)s who lose SSI/SSP because they began receiving Title II Social Security disabled widows benefits. They are deemed to be SSI recipients for Medicaid purposes until they are entitled to Medicare.

Applicants may receive Medicaid if they meet the following criteria:

• are a widow or a widower;

• were eligible for a SSI/SSP payment in the month before the month the disabled widows benefit began;

• would continue to be eligible for an SSI/SSP payment if they were not receiving the disabled widows benefit;

• are not yet entitled to Medicare Part A;

• meet the other requirements of Medicaid (residency, assignment of rights, etc.)

Medicaid continues as long as that individual would be eligible for SSI without the Title II benefit or until that individual becomes entitled to Part A Medicare.

Eligibility is determined using SSI income and resource standards. The Title II benefit is excluded from income when determining eligibility. Complete redeterminations annually.