Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1722 - SPECIAL MEDICAL ASSISTANCE COVERAGES AND PROGRAMS
Subchapter 2 - Qualified Severely Impaired Individuals
Section 17-1722-4 - Eligibility requirements

Universal Citation: HI Admin Rules 17-1722-4

Current through August, 2024

(a) A qualified severely impaired individual is a person:

(1) Who, for the month preceding the month to which this section applies;
(A) Received SSI, SSP, or both on the basis of blindness or disability; and

(B) Was eligible for medical assistance; and

(2) Of whom, the Social Security Administration determines that:
(A) The individual continues to be blind or disabled, and except for the individual's earnings, continues to meet SSI eligibility requirements;

(B) Without medical assistance the individual's ability to continue or obtain employment would be seriously inhibited; and

(C) The individual's earnings are not sufficient to provide a reasonable equivalent to the benefits from SSI/SSP, medical assistance, and publicly funded attendant care services for which the individual would be eligible, were it not for the individual's earnings.

(b) For the purposes of this section, an individual, who is eligible for special SSI/SSP payments or for work incentive allowances under provisions of 42 U.S.C. §1382 h shall be considered to have met the requirements of subsection (a). Thus, an individual with 1619 status, meeting the provisions of subsection (a), shall be considered a qualified severely impaired individual.

(c) An individual who meets the definition of a qualified severely impaired individual shall be eligible for medical assistance, provided the individual remains in 1619 status, as determined by the Social Security Administration.

(d) When an individual has more than one period of eligibility under 1619 status in the SSI Program, the first month of the most recent period shall be used to determine eligibility for medical assistance.

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