Each coverage type has five different ways with which to pass to be eligible (institutionalized and four waivers: Elderly, Physical Disabilities, Mental Retardation/Developmental Disabilities, and Brain Injury). An individual may pass only one of the five. The results display on the Household Tab. If the individual passes a specific waiver, a Pass will display along with the waiver name. If the individual is eligible and does not pass for a waiver type, then the individual passed for institutionalized.
The evidence used to determine if an individual is eligible for a waiver includes: Disability, Level of Care, and Medical Institution, as well as individual's age. See the Waivers section in this guide to see the rules for the specific waivers.