Section 210-RICR-50-00-2.1 - Scope and PurposeA. Medically Needy (MN) eligibility for Medicaid long-term services and supports (LTSS), previously referred to as the "Flexible Test of Income", enables people with income above the Federal benefit cap to obtain Medicaid LTSS coverage in certain circumstances. The Federal benefit cap rate is three hundred percent (300%) of the Supplemental Security Income (SSI) benefit rate and is the income eligibility ceiling for both the "special income" and home and community-based services (HCBS) LTSS pathways identified in Part 1 of this Subchapter.B. Under the Federal law, the LTSS MN pathway is for LTSS beneficiaries only without regard to type of care - institutional or HCBS settings. The provisions related to MN Non-LTSS Community Medicaid are set forth in Part 40-05-2 of this Title. LTSS MN is distinguished from MN Community Medicaid in that the spenddown is based on monthly projected expenses rather than the costs that must be incurred over a six (6) month budget period.210 R.I. Code R. 210-RICR-50-00-2.1
Amended effective 2/23/2021
Amended effective 12/28/2023