1. (a) All Supplemental Security Income (SSI) and SSI-related clients and clients who qualify for Medicaid benefits as Medical Assistance Only (MAO) clients must receive their Medicaid services through the ICM Program.

2. (b) The following groups of persons eligible for Medicaid are excluded from participation in the ICM Program:

   1. (1) Persons in institutional settings, including a resident of:

      1. (A) a nursing facility;
      2. (B) an Intermediate Care Facility for the Mentally Retarded (ICF-MR), or
      3. (C) an Institution of Mental Disease (IMD) or state hospital.

   2. (2) Persons enrolled in a 1915(c) Medicaid waiver program other than the Community Based Alternatives (CBA) waiver program, including the following waiver programs:

      1. (A) Community Living Assistance and Support Services;
      2. (B) Medically Dependent Children's waiver;
      3. (C) Home and Community Services waiver;
      4. (D) Deaf Blind Multiple Disability waiver;
      5. (E) Consolidated waiver program, and
      6. (F) Texas Home Living waiver.

   3. (3) Individuals not eligible for full Medicaid benefits, such as:

      1. (A) Individuals that are in the Community Attendant Services program;
      2. (B) Qualified Medicare Beneficiaries (QMB);
      3. (C) Specified Low-income Medicare Beneficiaries (SLMB);
      4. (D) Qualified Disabled and Working Individuals (QDWI), and
      5. (E) Undocumented aliens.
   4. (4) Individuals under age 21 in state foster care or the foster care youth transitional Medicaid program.
3. (c) SSI clients under 21 years of age, SSI clients receiving ongoing rehabilitative services through the local mental health authority, and SSI clients on the waiting list to receive MHMR HCS waiver services will have the option of ICM Program participation or choosing the Medicaid fee-for-service program.

Source Note:The provisions of this §353.702 adopted to be effective July 1, 2007, 32 TexReg 2135.