WAC 388-475-0100 SSI related medical -- Categorically needy (CN) medical eligibility.

1. Categorically needy (CN) coverage is available for an SSI related client who: 

   1. Meets the criteria in WAC 388-475-0050, SSI related medical—General information; or

   2. Meets the criteria for the state funded general assistance expedited Medicaid disability (GA X) program by meeting the:

      1. Requirements of the cash program in WAC 388-400-0025 and WAC 388-478-0030; or

      2. SSI related disability standards but who cannot get the SSI cash grant due solely to immigration status or sponsor deeming issues.

2. To be eligible for SSI related CN medical programs, a person must also have:

   1. Countable income and resources at or below the SSI related CN medical monthly standard (refer to WAC 388-478-0080) or be eligible for an SSI cash grant but choose not to receive it; or

   2. Countable resources at or below the SSI resource standard and income above the SSI related CN medical monthly standard, but the countable income falls below that standard after applying special income disregards as described in WAC 388-475-0880; or

   3. Met requirements for long term care (LTC) CN income and resource requirements that are found in chapter 388-513 and 388-515 WAC if wanting LTC or waiver services.

3. An ineligible spouse of an SSI recipient is not eligible for non-institutional SSI-related CN medical benefits. If an ineligible spouse of an SSI recipient has dependent children in the home, eligibility may be determined for family medical programs.