(a) To be eligible for a Medicaid-funded program for the elderly and people with disabilities (MEPD), a person must be aged, blind, or disabled, according to the following criteria:
- (1) Aged. A person must be 65 years of age or older to be considered aged, in accordance with 42 U.S.C. §1382c(a)(1)(A).
(2) Blind.
- (A) To be considered blind for eligibility purposes, a person must meet the criteria in 42 U.S.C. §1382c(a)(2).
- (B) There is no minimum age requirement for a person who is blind.
- (C) A person must have a medical determination of blindness before the Texas Health and Human Services Commission (HHSC) can determine eligibility.
(3) Disabled.
- (A) To be considered disabled for eligibility purposes, a person must meet the criteria in 42 U.S.C. §1382c(a)(3).
- (B) There is no minimum age requirement for a person who is disabled, unless the person lives in an institution for mental diseases as described in §358.213 of this subchapter (relating to Resident of an Institution for Mental Diseases).
- (C) A person must have a medical determination of a disability before HHSC can determine eligibility.
- (b) A person under 65 years of age who has applied for Supplemental Security Income, and subsequently applies for retroactive coverage, must have a medical determination of blindness or a disability effective during any month of coverage that the person was under 65 years of age.
Source Note:The provisions of this §358.211 adopted to be effective September 1, 2009, 34 TexReg 5497.