<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01:02"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000000">67:46:01:02</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000001">.  Eligibility requirements.</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> The following individuals are eligible for medical assistance:</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (1)  A </span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">parent or other caretaker relative of a dependent child </span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">eligible for Medicaid under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (2)  A person who is a recipient of a money payment under the </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> program;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (3)  A person under age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">twenty-one</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> who would be a recipient of a money payment under the </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> program if not subject to </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">sub</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">paragraphs (A) and (B) of 42 U.S.C. </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">§</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">1382(c)(7);</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (4)  A person who is in a hospital or intermediate care facility and would be eligible for a money payment under the </span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">program upon leaving the facility;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (5)  A person under age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">twenty-one</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> who is in the custody of the department and who meets the income requirements of § </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12:15"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12:15</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (6)  A person under age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">twenty-one</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> who meets the income </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">limits</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> of § </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12:15"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12:15</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, is in foster care, and whose financial responsibility has been assumed in full or in part by the department;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (7)  A person who is eligible under the provisions of chapters </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:02"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:02</span></a><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> to </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:06"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:06</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, inclusive;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (8)  A person who is eligible for transitional medical benefits under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:13"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:13</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (9)  A child in a subsidized adoption;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (10)  A person who is currently receiving social security, who was entitled to and received social security and </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> concurrently after April 1977, who was terminated from </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, and who currently would be eligible for </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> if the social security cost of living allowances back to the time of </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> ineligibility are disregarded;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (11)  A pregnant woman who meets the income requirements under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (12)  A woman who applied for Medicaid while pregnant and who was eligible for and received Medicaid on the date the pregnancy ended. Eligibility continues to the end of the month </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">three hundred and sixty-five</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> days after the pregnancy ends;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (13)  A child under age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">nineteen</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> whose family income meets the income requirements under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (14)  A child under age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">nineteen</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> who is eligible for the non</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">-M</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">edicaid children's health insurance program covered under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:14"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:14</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (15)</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">  </span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">A person determined to be a qualified Medicare beneficiary under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:11"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:11</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, with benefits limited to the part A and B premium, deductible, co-payments, and coinsurance charges;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (1</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">6</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A person determined to be a </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">s</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">pecial </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">l</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">ow-</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">in</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">come Medicare beneficiary under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:11"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:11</span></a><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> whose income is at least </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">one hundred</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> percent, but less than </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">one hundred and twenty</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> percent of the federal poverty level. Benefits are limited to payment of part B Medicare premiums;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (1</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">7</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A person determined to be a qualified Medicare beneficiary under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:11"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:11</span></a><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> whose income is at least </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">one hundred and twenty</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> percent, but less than </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">one hundred and thirty-five</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> percent of the federal poverty level, and who is not otherwise eligible for Medicaid. Benefits are limited to payment of part B Medicare premiums. The department may discontinue services provided under the provisions of this chapter if the department exhausts its financial resources for providing the services;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (1</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">8</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A person who is eligible for and is receiving services under the home and community-based services waiver program in chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:44:03"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:44:03</span></a><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> or the home and community-based services program in chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:04"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:54:04</span></a><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:06"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:54:06</span></a><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> or </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:09"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:54:09</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">19</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A disabled widow or a disabled widower who is at least age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">fifty</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> but less than age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">sixty-five</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, who was terminated from </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> due to receipt of social security benefits under Title II of the Social Security Act, as amended to January 1, 201</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">6</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, who is not on Medicare part A, and who would continue to be eligible for </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> if the Title II benefits are disregarded;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (2</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">0</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A disabled adult who became disabled or blind before age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">twenty-two</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> and was terminated from </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> due to entitlement to social security benefits as an adult disabled child, but who would </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">continue to be eligible for supplemental security income</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> if the social security benefits are disregarded;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (2</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">1</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A child born to a woman eligible for and receiving Medicaid on the date of the child's birth. Eligibility continues for up to one year as long as the child remains a resident of the state;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (2</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">2</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A child under age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">twenty-one</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> who is under the jurisdiction of the South Dakota Department of Corrections, is not an inmate of a public institution, does not reside with a parent, and meets the income requirements as established under the provisions of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (2</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">3</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A child under age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">twenty-six</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> who, on the child's eighteenth birthday, was in foster care under the responsibility of the state;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (2</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">4</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)  A woman over age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">twenty-nine</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> and under age </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">sixty-five</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> who was screened for breast and cervical cancer by the Department of Health's All Women Count Program and who is in need of treatment for breast or cervical cancer or a precancerous condition of the breast or cervix, is not covered under creditable coverage, and is not otherwise eligible for medical services</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (25)  Coverage from conception to birth when the mother is not eligible for Medicaid under the requirements of </span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">§ </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01:16"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:01:16</span></a><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> and meets the income limits established in </span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">§ </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12:11"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12:11</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">;</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (26)  A working individual with a disability who has a net income below two hundred and fifty percent of the federal poverty level and who, except for earned income, meets all criteria for receiving benefits under the supplemental security income program; and</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    (27)  A person over age eighteen and under age sixty-five who meets the income requirements in chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    For purposes of this rule, a qualified alien who arrived in the United States after August 21, 1996, and who meets the eligibility requirements contained in this section must also meet the requirements of § </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01:10"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:01:10</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000001">Source:</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> SL 1975, ch 16, § 1; 2 SDR 88, effective July 1, 1976; 4 SDR 35, effective December 22, 1977; 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 8 SDR 170, effective June 21, 1982; 12 SDR 4, effective July 21, 1985; 12 SDR 112, effective January 16, 1986; 13 SDR 193, effective June 22, 1987; 14 SDR 140, effective May 1, 1988; 15 SDR 2, effective July 17, 1988; 15 SDR 171, effective May 15, 1989; 15 SDR 191, effective June 11, 1989; 17 SDR 8, effective July 23, 1990; 17 SDR 53, effective October 16, 1990; 17 SDR 187, effective June 3, 1991; 17 SDR 187, effective June 3, 1991; 17 SDR 200, effective July 1, 1991; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:01:02"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:16:01:02</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, effective August 23, 1992; 19 SDR 141, effective March 25, 1993; 20 SDR 92, effective December 21, 1993; 21 SDR 67, effective October 13, 1994; 21 SDR 162, effective March 23, 1995; 22 SDR 32, effective September 11, 1995; 23 SDR 152, effective March 14, 1997; 24 SDR 24, effective August 31, 1997; 24 SDR 104, effective January 29, 1998; 25 SDR 13, effective August 9, 1998; 26 SDR 168, effective July 1, 2000; 29 SDR 84, effective November 22, 2002; 30 SDR 193, effective June 13, 2004; 36 SDR 215, effective July 1, 2010; 41 SDR 7, effective July 29, 2014; 41 SDR 93, effective December 3, 2014</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">; 43 SDR 31, effective September 12, 2016; 49 SDR 125, effective July 3, 2023</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000001">General Authority:</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">28-6-1</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000001">Law Implemented:</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">28-6-1</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">(6).</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000001">Cross-References:</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    Federal poverty level, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:11:01:03"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:11:01:03</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    Subsidized adoption regulations, ch</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">apter</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:14:14"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:14:14</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    Declaration and documentation of citizenship required, </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">§</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01:16"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:01:16</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    Income limit -- Pregnant woman,</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">§</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:12:11"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:46:12:11</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">Deemed newborn children</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">, 42 C.F.R. § 435.117.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    Institutionalized individuals, 42 C.F.R. § 435.1009.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">Definitions relating to institutional status,</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> 42 C.F.R. § 435.1010.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    Group care centers for minors, ch</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">apter</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:42:07"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:42:07</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    Residential treatment centers, ch</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">apter</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:42:08"><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0-000003">67:42:08</span></a><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    State option of Medicaid coverage for adolescents leaving foster care, 113 Stat. 1829.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    John H. Chafee foster care independence program, 113 Stat. 1824.</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    State option of Medicaid coverage for adolescents leaving foster care, 42 U.S.C. § 1396a(a)(10)(A)(ii)(XVII).</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    State option of Medicaid coverage for certain breast or cervical cancer patients, 42 U.S.C. § 1396a(a)(10)(A)(ii)(XVIII).</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">Prohibition of preexisting condition exclusions or other discrimination based on health status,</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> 42 U.S.C. § 300gg-3(c).</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">    State option of working individuals with disabilities, 42 U</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">S</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">.C.</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">§</span><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0"> </span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">1396a(a)(</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">10</span><span class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71C0">)(A)(ii)(XIII) (July 1, 2016).</span></p><p dir="ltr" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71P0"><span xml:space="preserve" class="sf118fa15-d291-4f8e-a8c9-8056d44b7e71000002"> </span></p></div></body></html>