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Medicaid Program - Optional State Supplementation (OSS) Eligibility - South Carolina

Individuals or couples are eligible for Optional State Supplementation (OSS) payments if they meet the following requirements:

·      Determined to be Aged, Blind or Disabled in accordance with SSA criteria;

·      Reside in a residential care facility licensed by either the South Carolina Department of Social Services (DSS) or the Department of Mental Health (DMH);

·      Have resources that do not exceed the resource limitations set by the Federal Supplemental Security Income (SSI) program;

·      Receive an SSI payment, which when combined with other countable income, gives them total income less than the Net Income Limit appropriate to their living situation, or

·      Receive countable income that exceeds the SSI payment standard, but is less than the Net Income Limit appropriate to their living situation.

Eligibility for couples is determined by measuring a couple's combined countable income against a combined Net Income Limit.

Eligibility for OSS cases is reestablished every twelve months or more frequently. For example, when a change that might affect a couple's or individual's eligibility is reported, a re-determination of eligibility and grant adjustment is made promptly.

Also see:

Medicaid Program - Non-Financial Eligibility

Medicaid Program - Financial Eligibility

Medicaid Program - Services

Medicaid Program - Overview

Source

http://www.scstatehouse.net/coderegs/c114.htm

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