23 Miss. Code. R. 208-1.2 - Beneficiary Eligibility
A. In order to qualify as a beneficiary of the Elderly & Disabled (E&D) Waiver Program, individuals must meet the following criteria:
1. Must be twenty-one (21) years of age or older.
2. Must require nursing facility level of care as determined by a comprehensive long-term services and supports (LTSS) assessment.
3. Must meet the criteria in one (1) of the following Categories of Eligibility (COE):
a) Supplemental Security Income (SSI) eligible under 20 C.F.R. §
416.202, or
b) An aged, blind or disabled individual who meets all factors of institutional eligibility. If income exceeds the current institutional limit, the individual must pay the Division of Medicaid the portion of their income that is due under the terms of an Income Trust to qualify.
B. Beneficiaries enrolled in the E&D Waiver cannot reside in a nursing facility or licensed or unlicensed personal care home.
C. In the event of imminent danger to the beneficiary, caregiver or service provider, the beneficiary may be discharged from the waiver immediately.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. Eligibility requirements for the Elderly & Disabled (E&D) Waiver Program include the following:
1. Persons must be twenty-one (21) years of age or older.
2. Persons must require nursing facility level of care as determined by a comprehensive long-term services and supports (LTSS) assessment.
3. Persons must meet the criteria in one (1) of the following Categories of Eligibility (COE):
a) Supplemental Security Income (SSI), or
b) An aged, blind or disabled individual who meets all factors of institutional eligibility. If income exceeds the current institutional limit, the individual must pay the Division of Medicaid the portion of their income that is due under the terms of an Income Trust in order to qualify.
B. Persons enrolled in the E&D Waiver cannot reside in a nursing facility or licensed or unlicensed personal care home and are prohibited from receiving additional Medicaid services through another waiver program.
C. Persons enrolled in the E&D Waiver who elect to receive hospice care may not receive waiver services which are duplicative of any services rendered through hospice. Persons may receive non-duplicative waiver services in coordination with hospice services.