Special Needs

Medicaid

I had a meeting at the bureau of developmental disabilities and I was discussing how I was going to get Grants medicaid switched from income based to disability since my husband recently got an additional job.

She told me not to get on medicaid disability but instead fill out a DW9 or DWZ form. She said that medicaid disability would mess with SSI income. I told her that we were denied SSI due to our assets. She told me that SSI is based off of his disability and not our financial situation and not that many people know that.

She told me to reapply for SSI when I get my paperwork from the bureau of developmental disabilities back.

I am so confused. Does it sound like she knows what she is taking about? Anyone familiar with Medicaid DW9 and DW Z forms? I'm in Indiana.


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Re: Medicaid

  • I am not familiar with the DW9 & DWZ forms that you are saying, but from my knowledge it's medicaid waivers which are based off of the disability & the CHILD's income not the parents income/assets.  

    P used to have SSI before we moved back to VA and then H's job had over time so we lost it (in fact we are still paying it back).  So we switched her to a waiver which took her diagnosis and her income into consideration to keep her medicaid.

    As far as I know every state has income and asset limits on the SSI.

    I wonder if she really didn't know what she was talking about, what state are you in?

    Here are some helpful child SSI links:
    http://www.ssa.gov/ssi/text-child-ussi.htm
    http://www.ssa.gov/ssi/text-income-ussi.htm
    http://www.ssa.gov/ssi/spotlights/spot-deeming.htm 

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  • I am in the same state and my OT said something about Children with Special Healthcare Needs..not sure if that was SSI though or not. She was just saying how I could get the non covered 20 covered by Medicaid I think. Said the paperwork is long and hard, but it sets them up based on the child's needs and income.
  • image preggersINschool25:
    I had a meeting at the bureau of developmental disabilities and I was discussing how I was going to get Grants medicaid switched from income based to disability since my husband recently got an additional job. She told me not to get on medicaid disability but instead fill out a DW9 or DWZ form. She said that medicaid disability would mess with SSI income. I told her that we were denied SSI due to our assets. She told me that SSI is based off of his disability and not our financial situation and not that many people know that. She told me to reapply for SSI when I get my paperwork from the bureau of developmental disabilities back. I am so confused. Does it sound like she knows what she is taking about? Anyone familiar with Medicaid DW9 and DW Z forms? I'm in Indiana.

    Huh?

    Did this person know how old Grant is? If he were 18, your income/assests wouldn't be factored in, but for now they are.

    Otherwise, SSI does consider not only the child's income in determining eligibility, it considers "household" income which would include parents and potentially other adults in the household.

    This is the SSA document that explains how this is determined-

     

    http://www.ssa.gov/pubs/EN-05-10026.pdf

    Pages 5-6 clearly state this

    If your child?s income and resources, 

    or the income and resources of 

    family members living in the child?s 

    household, are more than the amount 

    allowed, we will deny the child?s 

    application for SSI payments.

     
  • That's not what we were told when applying for SSI for Judith (we had to as a part of the Medicaid process).  Like auntie said, it's based on total household income, not just the child's disability.  In fact, the one thing that I can think of off the top of my head that negates the income requirement is the low birthweight program for premature babies, and that's typically only for the duration of the preemie's NICU stay (which we qualified for).  We knew going into the application process that she would likely be denied SSI, but just went through the motions because we had to as a part of the Medicaid process.

    It probably can't hurt to double check what that person told you, just to be sure.

    ETA 

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  • image BostonKisses2:
     We knew going into the application process that she would likely be denied SSI, but just went through the motions because we had to as a part of the Medicaid process.

    It probably can't hurt to double check what that person told you, just to be sure. 

    SSI is a federal program, so what flies in one state flies elsewhere. Medicaid for disabled children is administered by the individual states, usually under some sort of Katie Becket-like Waiver format so it's going to be a little different across the country.

    Some states require a family to apply for SSI as part of the application for Medicaid. Where I live, you can apply directly for "Teddybear Coverage" Medicaid at the state's welfare offices. 

  • The ssi income guidelines for children with disabilities are higher than for those without.  This page has an income chart:

     

    http://www.socialsecurity.gov/ssi/text-child-ussi.htm

    as long as he is eligibel for at least $1 in ssi he is eligible for Mediciad which may be why she suggested you apply for ssi. 

    You can be eligible for Medicaid based solely on disability but it is a lengthy and difficult process.   

    Mommy to L (6), J (4) and S (March 2013)

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