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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