Medical Assistance is a needs based program available only to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law. Cúram Medical Assistance is comprised of a number of rule sets to determine eligibility for a range of coverage types within the Medical Assistance program. Eligibility determination is provided for the following:
Mandatory Categorically Needy groups
- Low Income Families with Children (LIFC - includes Transitional and Extended Assistance)
- Aged Blind and Disabled (ABD)
- Pregnant Women
- Newborn
- Children (under and over 6)
- Title IV-E Foster Care
- Title IV-E Adoption
- Cost Sharing Medical Assistance:
- Qualified Medicare Beneficiaries (QMB)
- Specified Low-Income Medicare Beneficiaries (SLMB)
- Qualified Individual (QI-1)
- Qualified Disabled Working Individual (QDWI)
- Emergency Medical Assistance for the following:
- Low Income Families with Children
- Aged Blind and Disabled
- Pregnant Women
- Newborn
- Children (under and over 6)
- Title IV-E Foster Care and Title IV-E Adoption
Optional Categorically Needy groups
- Refugee
- Breast and Cervical Cancer (BCC)
Mandatory Medically Needy
- Medically Needy Children
- Medically Needy Pregnant Women
- Emergency Medically Needy Children
- Emergency Medically Needy Pregnant Women
Mandatory Medically Needy with Spend Down
- Medically Needy Children with Spend Down
- Medically Needy Pregnant Women with Spend Down
- Emergency Medically Needy Children with Spend Down
- Emergency Medically Needy Pregnant Woman with Spend Down
Long Term Care
- Long Term Care (SIL)
- Medically Needy Long Term Care
- Medically Needy Long Term Care with Spend Down
All the coverage types are described in this guide except for Long Term Care and Spend Down.
For information on Long Term Care including the eligibility rules,
see the Cúram Long Term Care Medical Assistance Guide. For Spend Down, see the Cúram Medical Assistance with Spend Down Guide.