Categorically related

In the Medicaid program the requirements (other than income and resources) which an individual must meet in order to be eligible for Medicaid benefits; also individuals who meet these requirements. Specifically, any individual eligible for Medicaid must fall into one of the four main categories of people who are eligible for welfare cash payments. He must be ”aged”, “blind”, or ”disabled” (as defined under the Supplemental Security Income Program, title XVI of the Social Security Act) or a member of a family with dependent children where one parent is absent, incapacitated, or unemployed (as defined under the Aid to Families with Dependent Children Program, title IV of the Social Security Act). After the determination is made that an individual is categorically related, then income and resources tests are applied to determine if the individual is poor enough to be eligible for assistance (categorically needy). As a result of this requirement, single persons and childless couples who are not aged, blind, or disabled and male-headed families in States which do not cover such groups under their AFDC programs cannot receive Medicaid coverage no matter how poor they are.


 


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