Categories of Eligibility for T-XIX

T-XIX beneficiaries who will be eligible for substance abuse services include:

Population	Population Codes
AFDC adults and children	30-36
Poverty Level Eligible	43-46
Supplemental Security Income	10-12
Medical Support	20-22
Working Disabled	26
Medically Improved	27
Medical Assistance	40-42
Breast/Cervical Cancer	75
Adoption Support	67
Foster Care	60-69
MA Child Institution	73

1.  T-XIX Beneficiaries Not Eligible for the Contract:
2. All T-XIX beneficiaries are automatically enrolled for provision of covered T-XIX services under this Contract except for the following excluded eligibility categories:
3. T-XIX beneficiaries who reside in Nursing Facilities (NF) or Intermediate Care Facilities for the Mentally Retarded (ICF/MR).
4. T-XIX beneficiaries who receive services through the S-CHIP program. Kansas has a stand-alone S-CHIP program.
5. Sixth Omnibus Budget Reconciliation Act of 1986 (SOBRA) eligibles for an emergency condition only.
6. Individuals participating in the refugee resettlement program.
7. Beneficiaries who have an eligibility period that is only retroactive.
8. Beneficiaries who reside in an Adult Care Home.
9. Beneficiaries who reside in a State Institution.
10. Beneficiaries who have not yet met spend-down requirements.
11. Beneficiaries who are being treated in a Psychiatric Residential Treatment Facility (PRTF).

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