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Medicaid
Can the state deny Medicaid to a mentally retarded adult who is receiving SSI only?

Can the state deny Medicaid to a mentally retarded adult who is receiving SSI only?

Q: Is being institutionalized a disability for Social Security?

Being institutionalized itself is not classified as a disability for Social Security purposes. However, if you have a qualifying disability that necessitates institutionalization, you may be eligible for benefits like SSI. The focus is on the underlying condition that limits your ability to work or perform daily tasks.

Full question:

Mentally retarded adult receiving SSI now denied medicaid due to receiving deceased father's benefit amount, thus an increase over his SSI benefit. Increase started in 2001. Now receives a total $1109 monthly. Can MO deny medicaid? Basis?

Category: Medicaid
Date: 04/07/2025
State: Missouri

Answer:

Missouri Medicaid is now called Missouri HealthNet. You must meet certain income guidelines and other rules to become eligible for MO HealthNet. Your local Family Support Division Eligibility Specialist will make this decision for you. If you have questions about your eligibility contact your local Family Support Division Eligibility Specialist.

The Department of Social Services (DSS), MO HealthNet Division oversees the MO HealthNet program. MO HealthNet For Kids, MO HealthNet For Pregnant Women and MO HealthNet For Families participants get their care either through MO HealthNet Fee-for-Service or through MO HealthNet Managed Care. How you receive your care depends on where you live in Missouri.
MO HealthNet refers to the fee-for-service program for elderly and disabled participants.

This content is for informational purposes only and is not legal advice. Legal statutes mentioned reflect the law at the time the content was written and may no longer be current. Always verify the latest version of the law before relying on it.

FAQs

Can you get SSI for being institutionalized?

Yes, you can receive Supplemental Security Income (SSI) while being institutionalized, but it depends on the type of institution. If you are in a public institution, your SSI benefits may be reduced to $30 per month. However, if you are in a medical facility, you may still qualify for the full SSI amount, depending on your situation. It's important to consult with a local Social Security office for specific eligibility criteria.

What is the one-time emergency payment for SSI?

The one-time emergency payment for SSI is designed to help individuals in urgent financial need. This payment is not a regular benefit but may be available in specific situations, such as natural disasters or other emergencies. Eligibility and the amount can vary, so it's best to contact your local Social Security office for details on how to apply.

What mental disabilities qualify for SSI?

To qualify for SSI, mental disabilities must severely limit your ability to function in daily life. Conditions such as schizophrenia, bipolar disorder, severe depression, and intellectual disabilities may qualify. The Social Security Administration evaluates the severity of your condition and its impact on your daily activities. Documentation from healthcare providers is essential for the application process.