What are the requirements for Medicaid in Connecticut? In order to understand how to qualify for Medicaid, it is important to first know that Medicaid eligibility requirements are determined at the state level. This means that Medicaid benefits eligibility in Connecticut differs from the standards in a state like Rhode Island. Therefore, applicants must review who is eligible for Medicaid in CT before applying. There are both income requirements for Medicaid as well as general Medicaid requirements. It is mandatory to meet all – not just some – of the requirements to be eligible for Medicaid if an applicant wants to successfully receive coverage. What are the Medicaid application guidelines for program eligibility in CT?
Review the below topics on Medicaid qualifications in Connecticut, which include:
- Who is eligible for Medicaid in Connecticut?
- General Medicaid requirements in Connecticut
- What are the income requirements for Medicaid in Connecticut?
Who is eligible for Medicaid in Connecticut?
What are the Medicaid application guidelines regarding different patient groups in the state of Connecticut? Medicaid benefits eligibility is now more widespread than ever, since the state elected to adopt the terms of Medicaid expansion. Medicaid benefits, also known as HUSKY Health, are broken down into four different programs in order to categorize Medicaid eligibility. Review how to qualify for Medicaid under different types of HUSKY Health in Connecticut below:
HUSKY A – You are eligible for Medicaid through HUSKY A if you are a child, a parent or a relative caregiver, depending on household income. In some instances, pregnant women also qualify for Medicaid under HUSKY A in Connecticut.
HUSKY B – If you are an uninsured child under the age of 19, you may be eligible for Medicaid under the HUSKY B plan, which serves as the state’s form of the Children’s Health Insurance Program. However, you may be subject to cost-sharing requirements depending on the household level of income.
HUSKY C – Designed for patients age 65 and older, HUSKY C caters to the elderly, along with the blind, the disabled and the working disabled beginning at age 18. Note that your Medicaid eligibility for HUSKY C depends on your specific patient classification. Under HUSKY C, patients are also eligible for Medicaid benefits related to long-term care and support.
HUSKY D – Adults that are ages 19 to 65 whom do not have dependent children qualify for Medicaid under HUSKY D. Applicants that fall into the HUSKY D Medicaid eligibility category do so because they do not qualify for HUSKY A. In addition, in order to meet HUSKY D Medicaid qualifications, candidates must not receive Medicare and cannot be pregnant.
In addition to all of the above, women who need Medicaid benefits to treat breast cancer or cervical cancer also qualify for Medicaid in CT.
General Medicaid Requirements in Connecticut
What are the requirements for Medicaid in Connecticut on a general scale? Because Medicaid benefits eligibility is decided at a state level, there are Medicaid requirements developed by the Connecticut Department of Social Services applicants must meet in order to qualify. Although these Medicaid eligibility requirements may appear simple, they are mandatory; meaning an applicant cannot qualify for Medicaid unless he or she meets all of them. What are the application guidelines for Medicaid candidates that are non-negotiable in the state? They are as follows:
Candidate must be a resident of Connecticut – In order to apply for Medicaid benefits in Connecticut, candidates must reside within state borders. A petitioner cannot meet Medicaid eligibility in the state if he or she cannot prove residency status. A valid Connecticut driver’s license or current state ID card will suffice in confirming residency in CT. If an applicant does not have either of these items available, he or she may be authorized to provide mail or bills addressed to the current residence when applying for Medicaid.
Applicant must have a Social Security Number – Having a registered Social Security Number is another requirement of Medicaid. The Social Security Number is a federal identification number that is used to track and dispense Medicaid benefits. Applicants must have the nine-digit number on hand to confirm that they are eligible for Medicaid.
Applicant must be a U.S. citizen – Medicaid applicants in Connecticut must be able to provide proof of United States citizenship to properly qualify for Medicaid. If a petitioner does not have a document stating that he or she is a legal U.S. citizen, he or she must have papers handy proving legal presence in the country. Without proof of being a citizen of the U.S. or legal status, candidates run the risk of being denied Medicaid benefits.
What are the income requirements for Medicaid in Connecticut?
Medicaid income requirements, in addition to all of the above, must be met to ensure a petitioner meets the application guidelines for Medicaid. The income requirements for Medicaid differ depending on the type of Medicaid insurance for which the applicant is applying. The financial requirements for Medicaid are based on numbers pulled from the Modified Adjust Gross Income (MAGI) chart. The MAGI develops figures for Medicaid eligibility in CT based on income levels and household sizes, measured alongside the Federal Poverty Levels. Applicants qualify for Medicaid in CT so long as he or she is within the limits of the Federal Poverty Level, depending on the size of the home.
If you are a child under the age of 19 seeking Medicaid coverage under HUSKY B, your family does not need to meet any income limits.
Those interested in MED-Connect, the specific type of Medicaid that assists disabled employees, can earn no more than $75,000 per year, and may be subject to certain premiums for Medicaid benefits. Additional applicants of HUSKY C policies have financial limits set by region. If you live in Region A (Southwest CT), you can earn up to $633.49 per month as an individual and up to $805.09 as a couple to qualify for Medicaid. Those who reside in Region B (Northern, Eastern and Western CT) can earn slightly less – $523.38 for individuals and $696.41 for couples to meet Medicaid eligibility requirements. If you are institutionalized, you can earn no more than $2,199 to qualify for coverage, and your asset limits are set between $1,600 (single person) and $2,400 (married couple).
While there are income levels set for those in need of HUSKY D, for adults ages 19 to 65 that do not qualify for Medicaid under HUSKY A, there are no asset limits assigned at this time.
Applicants seeking Medicaid eligibility for medical assistance related to breast cancer or cervical cancer, your income limit is set at 250 percent of the Federal Poverty Level.