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Sneede vs. Kizer Medical

Revised July 23, 2008

What is Sneede vs. Kizer?   When do I apply Sneede vs. Kizer rules?   How do I screen an AU using Sneede vs. Kizer rules?   How do I process a pending Sneede vs. Kizer F06 AU?   How do I process a pending Sneede vs. Kizer F04 AU?   How do I process a pending Sneede vs. Kizer P02/P04 AU?   Can I apply Sneede vs. Kizer rules for S02 medical?   Sneede vs. Kizer Examples

What is Sneede vs. Kizer?   ·         Sneede vs. Kizer is the name of a Ninth Circuit Court of Appeals class action settlement. It specifies how the separate income or resources of family members who are not financially responsible for other family members affects the medical assistance eligibility of other family members.    ·         See EA-Z Manual – WAC 388-408-0055 Medical Assistance Units.   When do I apply Sneede vs. Kizer rules?   ·         If a family is not eligible for a CN (Categorically Needy) program as one medical assistance unit (MAU), separate MAUs must be established when the household meets Sneede vs. Kizer criteria.   ·         See EA-Z Manual – WAC 388-408-0055 Medical Assistance Units. for information about when Sneede vs. Kizer rules must be applied and separate MAUs established.

NOTE: Separate Medical Assistance Units (MAU) must be established to process Sneede vs. Kizer. For each separate MAU, a separate AU must be screened in ACES.  See SNEEDE vs. KIZER EXAMPLES.

How do I screen an AU using Sneede vs. Kizer rules?   1.      The first step is to determine eligibility for CN medical for all household members together. Refer to the Categorically Needy Family Medical Chapter (F04) for instructions on how to screen, process, and finalize F04 medical. If the family is eligible for F04, process the application as one MAU.             2.      If the F04, trickles to F06 --- STOP! Do not finalize the AU. If Sneede vs. Kizer criteria exists, press <F3> to return to the AMEN.   3.      Do Add a Program in aces.online to establish a separate F06 AU for each child who meets Sneede vs. Kizer criteria.   How do I process a pending Sneede vs. Kizer F06 AU?   1.      From the AMEN screen, select Option O – Interview.   2.      On the STAT screen, enter the following financial responsibility codes for each separate MAU:           o        ST – Sneede Parent Financially Responsible to the Applicant Child for the adult parent(s).   o        PN – Applicant for the child that this MAU is being established for.   o        CA – Child Included in Parent's AU for any child who is a member of their parent’s MAU (does not qualify for a separate MAU).   o        CX – Common Child of Unmarried Parents Living Together for a child in common of unmarried parents who is on his/her own separate MAU.   o        SN – Child with Income or Excess Resources Who is Not a Common Child for any other child (not the PN) who qualifies for their own MAU.   o        NM – Not Related and Not Financially Responsible to the Applicant for an adult who is not the parent or step-parent of the child listed as PN on the STAT screen.

NOTE: Do not use FINL RESP code SC – SSI Child/Child of SSI Related Parents/Child used to determine Family Size for Sneede vs. Kizer cases.  If SC is used the income allocation and budgeting will not be correct.

3.      Complete the interview following the instructions in the Interview chapter.    4.      After committing the interview data, follow the instructions in the Process Application Month chapter for all pending months.   5.      After all pending months have been processed, follow the instructions in the Finalize Application chapter to complete the F06 eligibility determination.   How do I process a pending Sneede vs. Kizer F04 AU?   1.      Once the F06 MAUs have been established and processed, go back to the pending F04 AU to establish a MAU for the parent(s) and any children who must be included in their MAU.   2.      From the AMEN screen, select Option O – Interview.   3.      On the STAT screen, enter the following financial responsibility codes for each separate MAU:      o        PN – Applicant for the married parents and any child(ren) who do not qualify for a separate MAU.   o        NM – Not Related and Not Financially Responsible to the Applicant for the unmarried co-parent of a child in common with the PN parent above.   o        SN – Child with Income or Excess Resources Who is Not a Common Child for any child(ren) who qualify for a separate MAU.   o        CX – Common Child of Unmarried Parents Living Together for a child in common of unmarried parents who is on his/her own separate MAU.   o        NM – Not Related and Not Financially Responsible to the Applicant for any adult not related and not financially responsible to the applicant.   4.      Add an F04 AU if the household contains an unmarried parent of a common child. Follow steps in #1 above to establish a separate MAU for this adult and any of that parent’s children who do not qualify for separate MAU status.   5.      Complete the interview following the instructions in the Interview chapter.    6.      After committing the interview data, follow the instructions in the Process Application Month chapter for all pending months.   7.      After all pending months have been processed, follow the instructions in the Finalize Application chapter to complete the F04 eligibility determination.   o        If the case is active F04 then all MAU members will receive CN medical coverage.   o        If the case trickles to F06 then only the children coded PN – Applicant on this MAU will receive CN medical coverage.  The parents would not be eligible for medical coverage unless you could relate them to another program such as pregnancy or SSI-related.   How do I process a pending Sneede vs. Kizer P02/P04 AU?   ·         If a household which contains a pregnant woman is not eligible for CN medical and Sneede vs. Kizer criteria exists, the user needs to Add a Program in aces.online to establish a P02/P04 AU for the pregnant woman.   1.      From the AMEN, select Option O – Interview.   2.      On the STAT screen, enter the following financial responsibility codes for each separate MAU:      o        PN – Applicant for the pregnant woman.   o        SP – Ineligible Spouse for the spouse (if there is one).   o        NM – Not Related and Not Financially Responsible to the Applicant for the unmarried father of unborn.   o        CX – Common Child of Unmarried Parents Living Together for a child in common of unmarried parents who is on his/her own separate MAU.   o        SN – Child with Income or Excess Resources Who is Not a Common Child for any other child (not the PN) who qualifies for their own MAU.   o        SC – SSI Child/Child of SSI Related Parents/Child used to determine   Family Size for child (ren) with no Sneede characteristics (used only when no one in the household has Sneede characteristics).   3.      Complete the interview following the instructions in the Interview chapter.    4.      After committing the interview data, follow the instructions in the Process Application Month chapter for all pending months.   5.      After all pending months have been processed, follow the instructions in the Finalize Application chapter to complete the P02/P04 eligibility determination.   Can I apply Sneede vs. Kizer rules for S02 medical?   ·         Do not apply Sneede Kizer rules when determining eligibility for S02 medical.   ·         If an aged, blind, or disabled (A,B,D) adult or child applies for medical and is not eligible for CN Family (F04) or Children’s (F06) medical, screen an S02 AU.  See EA-Z Manual – SSI Related Medical Chapter.

Sneede vs. Kizer Examples EXAMPLE 1: A mother and her two children apply. The mother has earned income of $2,200 a month and receives child support of $300 a month for one of the children. The family has no countable resources. Establish 2 separate MAUs: MAU 1: The mother and child without income MAU 2: The child with income MAU 1 F04       MAU 2 F06 PN – Mother ST – Mother PN – Child without income PN – Child with income SN – Child with income  CA – Child without income   EXAMPLE 2: A mother and one child apply. The total income to the family is $550; $400 is child support and $150 is veterans benefit payments for the child. All of the income is the child's. Establish 2 separate MAUs: MAU 1: Mother MAU 2: Child MAU 1 F04 MAU 2 F06 PN – Mother ST – Mother SN – Child with income PN – Child with income   EXAMPLE 3: A mother and her two children apply. The mother has UC income of $400. One of the children has $2500 in a savings account, established by her grandmother. The mother has $900 in a savings account.  The child’s savings makes the HH ineligible as a family for F04. Establish 2 separate MAUs: MAU 1: Mother and child without resources MAU 2: Child with resources MAU 1 F04 MAU 2 F06 PN – Mother ST – Mother PN – Child without resources CA – Child without resources SN – Child with resources PN – Child with resources   EXAMPLE 4: A family applies for F04 family medical. The family includes the mother, the father, and two children. The father is working part-time and his income is $900. The mother receives SSI and is active on S01 medical program. Establish 2 separate MAUs: MAU 1: The father and 2 children MAU 2: Mother MAU 1 F04 MAU 2 S01 SI – Mother RE – Mother PN – Father NM – Father PN – Child without income NM – Child without income PN – Child without income NM – Child without income   EXAMPLE 5: A family applies for F04 family medical. The family includes the mother with earned income of $800, a child with $300 child support, a child without income, and a child that receives SSI benefits. The child is already active on S01 (MAU 1). Establish 3 separate MAUs: MAU 1: The SSI child MAU 2: The mother and child without income MAU 3: The child with income MAU 1 S01 MAU 2 F04 MAU 3 F06 RE – SSI Child PN – Mother ST – Mother NM – Mother PN – Child without income CA – Child without income NM – Child without income SN – Child with income PN – Child with income NM – Child with income SC – SSI Child SC – SSI Child   EXAMPLE 6: A family applies for family medical coverage. The mother and both children are citizens. The father is undocumented. He earns $1250 per month. Only the citizen mother and children are eligible for F04. Establish 1 MAU: MAU 1 F04 PN – Undocumented father (The system will change the father to UC in finalize) PN – Mother PN – Child PN – Child   UNMARRIED PARENTS EXAMPLES   EXAMPLE 7: Unmarried parents with a common child live together.   The mother has no income.  The father receives $3,200 earned income.  The parents have no resources.  The family is ineligible for F04 as one MAU. Establish 3 separate MAUs: MAU 1: Mother MAU 2: Father MAU 3: Their common child MAU 1 F04    MAU 2 F04 MAU 3 F06   PN – Mother NM – Mother ST – Mother   NM – Father PN – Father ST – Father CX – Common Child CX – Common Child PN – Common Child   EXAMPLE 8: Unmarried parents with a common child live together and they each have a separate child. The mother has earnings of $1000 and her child receives $300 of child support. The father receives $1150 UC and his child has no income or resources.  Neither parent has resources. Establish 4 separate MAUs: MAU 1: Mother MAU 2: Father and his child MAU 3: Their common child MAU 4: The mother's child with income MAU 1 F04        MAU 2 F04 MAU 3 F06    PN – Mother       NM – Mother ST – Mother    NM – Father PN – Father ST – Father NM – Father’s child PN – Father’s child CA – Father’s child  CX – Common Child CX – Common child PN – Common child SN – Mother’s child with income  NM – Mother’s child with income SN – Mother’s child with income       MAU 4 F06     ST – Mother