
October 14, 2004 |
2004-R-0806 | |
HUSKY—ADULT COVERAGE | ||
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By: Robin K. Cohen, Principal Analyst | ||
You asked if HUSKY A coverage for adults ends when the youngest child in the household reaches age 18. If so, you wanted to know whether the coverage can continue for a parent or caretaker who has an ongoing medical problem.
Assuming he meets all of the program’s other eligibility criteria, HUSKY A coverage for an adult (Medicaid for parents and adult caretaker relatives of children enrolled in HUSKY A) ends at one of two points in time. If the child reaches age 18 and has graduated from high school, or has not graduated and has no intention of completing school, the adult’s coverage ends (the child remains eligible until he turns 19). If the child reaches age 18 and is (1) attending secondary school or its equivalent full-time and (2) is expected to complete school before he turns 19, both the adult and child remain eligible until the child’s 19th birthday (DSS Uniform Policy Manual, Section 2540. 24).
Once eligibility ends, the adult cannot continue to get “family” benefits, even if he has an ongoing medical need. But he might qualify for Medicaid under a separate coverage category (i. e. , disability), the rules for which are generally more restrictive than they are for the family coverage.
Aside from Medicaid coverage, the only other state-funded assistance, which would be available regardless of the person’s medical condition, is the State-Administered General Assistance (SAGA) program. To qualify for this, an individual may not have more than $ 1,000 in assets and monthly income (in most parts of the state) of $ 476 (after deducting $ 150 for any earnings). Individuals eligible for Medicaid cannot get SAGA medical assistance since SAGA is a state-funded program and Medicaid is funded with both state and federal monies.
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