7 AAC 100.120 - Inclusions and exclusions from the Family Medicaid eligibility determination

(a) The financial needs, income, or resources of the following individuals are not included in a Family Medicaid eligibility determination even if the individual is living in the same home as a dependent child:

(1) a recipient of SSI or APA;

(2) the sibling of a dependent child if the sibling does not meet the Family Medicaid age or deprivation requirements;

(3) a stepparent and the stepparent's own children, if including them in an existing household would cause another child in the home who is deprived by reason of death or continued absence of a parent to lose eligibility if the stepparent's income and resources were counted;

(4) an alien who is not eligible for Medicaid and who is not the dependent child's natural or adoptive parent;

(5) an individual for whom state or Title IV-E foster care maintenance payments are being paid;

(6) a sibling of a dependent child whose inclusion in the household would cause the dependent child to lose financial eligibility if the sibling's income were deemed available to the dependent child;

(7) the parent of a child 18 years of age or older if

(A) the child is in her third trimester of pregnancy; and

(B) the parent has no other dependent children in the household.

(b) Any of the following individuals living in the same home as a dependent child is included in the Family Medicaid household, and the individual's financial needs, resources, and income count for the purposes of determining Family Medicaid eligibility for the household, but the individual is not entitled to receive Family Medicaid benefits:

(1) the parent of a dependent child, if the parent is ineligible for failure to

(A) cooperate under 7 AAC 100.042 with the child support services agency; or

(B) comply with the verification and documentation requirements of 7 AAC 100.016;

(2) the parent of a dependent child, if the parent is ineligible because of income deemed from a spouse who is only a stepparent to the dependent child;

(3) the parent or sibling of a dependent child, if the parent or sibling is ineligible for Family Medicaid because the parent or sibling is

(A) a qualified alien subject to the five-year bar under 7 AAC 100.056; or

(B) an alien who is not a qualified alien under 7 AAC 100.052.

Notes

7 AAC 100.120

Eff. 7/20/2007, Register 183

Authority:AS 47.05.010

AS 47.07.020

AS 47.07.040