Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter X
Sec2 144-101-X-3 - Katie Beckett Benefit
Subsection 144-101-X-3.04 - ELIGIBILITY
Current through 2024-38, September 18, 2024
To qualify for the MaineCare Katie Beckett benefit, a child must apply through the Office of Integrated Access and Support. The child must:
1. Be age 18 and under (up to age 19);
2. Not be eligible for MaineCare under any other category;
3. Meet Social Security Administration criteria for disability as determined by the Department or its Agent. See Title XVI of the Social Security Act, 42 U.S.C. §§ 1382, et seq., and 20 Code of Fed. Regs. §416.924(a).
4. Reside in the community; (not in a medical institution as defined in the MaineCare Eligibility Manual);
5. Need in-patient care provided by a hospital, nursing facility, psychiatric hospital, or an Intermediate Care Facility for Persons with Mental Retardation (ICF-MR) but not reside in one of these facilities;
6. Have an initial face-to-face medical assessment completed by the Department or its agent to determine if the child meets medical eligibility and if so, the type of facility the child would qualify under; and
7. Meet financial and any other additional eligibility criteria for Katie Beckett coverage as required by the MaineCare Eligibility Manual. See 10-144 Code of Me. Regs. Ch. 332, §5090.
