382 Medically Complex Children Waiver (MCC)

Effective Date: October 1, 2015

No Previous Policy

A.  General Criteria

This waiver is for children under age 19 with a medically complex condition.  The child can remain eligible through the month of their nineteenth birthday.

1.    Children must meet general non-financial Medicaid criteria.

2.    They must meet a disability Medicaid category found in section 303.

3.    The Bureau of Authorization and Community Based Services (BACBS)determines the need for the level of care for this waiver.

B.  Asset Requirements

The client must meet the asset requirements found in policy section 573.

C.  Income Requirements

1.    Use only the client’s total income. Only the following types of income are not considered:

a.    Austrian Reparation Payments

b.    German Reparations Payments made by the Federal Republic of Germany.

c.     Japanese and Aleutian Restitution Payments.

d.    Netherlands Reparation Payments based on Nazi, but not Japanese, persecution during World War II.

e.    Payments from the Agent Orange Settlement Fund or any other fund established pursuant to the settlement in regard to Agent Orange product liability litigation.

f.      Radiation Exposure Compensation.

g.    VA pensions limited to $90 per month under 38 U.S.C. 5503.

h.    Subsidized Adoption payments

2.    Subtract from total income the deductions found in section 409-14.

3.    Any amount left is the amount of contribution to cost of care.