(a) What is in this subpart. This subpart describes the agreements we make with States under which we determine the Medicaid eligibility of individuals who receive Supplemental Security Income (SSI) benefits. It includes a general description of the services we will provide under these agreements and the costs to the States for the services.
(b) Related regulations. The comprehensive regulations on eligibility for the Medicaid program, administered by the Health Care Financing Administration, are in part 435 of title 42 of the Code of Federal Regulations.
(c) Definitions. In this subpart—
SSI benefits means Federal SSI benefits, including special SSI cash benefits under section 1619(a) of the Social Security Act. In addition, we consider a person who has special SSI eligibility status under section 1619(b) of the Social Security Act to be receiving SSI benefits.
State Medicaid Plan means a State's medical assistance plan which the Secretary has approved under title XIX of the Act for Federal payment of a share of the State's medical assistance expenses.
State supplementary payments means supplementary payments we administer for a State under subpart T of this part.
We, us, or our refers to the Social Security Administration.
Notes of Decisions
Underwood v. Ohio Dept. of Job & Fam. Servs., 2019 Ohio 4924 (Ohio Ct. App. 2019).
· cites it 2× “1201 Defines resources for SSI eligibility 20 C.F.R. 416.2101 et seq. Describes the agreement between Social Security Administration (“SSA”) and states that elect to enter into such an agreement to determine Medicaid eligibility of individuals who receive SSI 42 C.”
Padron v. Feaver, 180 F.R.D. 448 (S.D. Fla. 1998).
“20 C.F.R. § 416.2101 et seq. However, if the applicant is found by the SSA to be ineligible for SSI, under the present regulatory arrangement the SSA does not provide the applicant with any notice regarding his/her pending federal/state Medicaid application.”
Waldron v. Sec'y of Health & Human Servs., 661 F. Supp. 43 (W.D.N.Y. 1987).
“20 C.F.R. § 416.2101 (c). At the time of her hearing in June, 1985, plaintiff could not have resources whose equity value exceeds $1,600.”
— 20 C.F.R. § 416.2101(b) — 1 case
Underwood v. Ohio Dept. of Job & Fam. Servs., 2019 Ohio 4924 (Ohio Ct. App. 2019).
“1201 Defines resources for SSI eligibility 20 C.F.R. 416.2101 et seq. Describes the agreement between Social Security Administration (“SSA”) and states that elect to enter into such an agreement to determine Medicaid eligibility of individuals who receive SSI 42 C.”
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