CN - Gross income at or below 300 % of the FBR. (Medicaid SIL) residing in a medical institution.
L02
Undocumented Alien Long Term Care residing in a medical institution.
L04
MN - Long Term Care Zero Spenddown. Residing in a medical institution. Income over 300% of the FBR (Medicaid SIL) and under the state rate.
L95
MN - Long Term Care with Spenddown residing in a medical institution. Income over the state rate and under the private rate.
L99
SSI Related
CN-Waiver or Hospice. Income under 300% of the FBR (Medicaid SIL)
C01
SSI Related
MN- Hospice institutional no spenddown. Income over 300% of the FBR, under the state rate.
(institutional = residing in a medical institution)
C95
SSI Related
MN- Hospice with Spenddown. Income over 300% of the FBR, over the state rate.
C99
TANF Related clients not receiving benefits prior to institutionalization are approved under a K coverage group. Those receiving benefits prior to institutionalization remain under an F or P coverage group, unless the client is expected to remain out of the home for more than 90 days.
Modification Date: October 28, 2007
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