1. (a) For a Medicaid applicant or client who is certified for Medicare payments while in a Title XVIII skilled nursing facility (SNF), Medicare pays the entire bill for the first through the 20th day. There is no coinsurance for that period. The client is eligible for coinsurance vendor payment beginning on the 21st day. Coinsurance continues through the 100th day if the client's stay is covered by Title XVIII.
2. (b) If his countable income is less than $30 per month, a client may continue to receive SSI benefits. He may also be eligible for Medicaid benefits.
3. (c) A client whose countable income equals or exceeds $30 a month may continue to be eligible as an SSI-related MAO recipient beginning with the 21st day in the SNF.

Source Note:The provisions of this §358.515 adopted to be effective April 17, 1989, 14 TexReg 1083; amended to be effective January 1, 1990, 15 TexReg 1840; transferred effective September 1, 2004, as published in the Texas Register September 17, 2004, 29 TexReg 9013.