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…SSI recipients Add gov.hhs.medicaid.eligibility.categories.senior_or_disabled.covers_non_ssi_recipients, false for AL, DE, GA, KS, KY, MD, MS, NV, NM, SD, TN, TX and WY, and require it in is_optional_senior_or_disabled_for_medicaid. The 209(b) SSI-recipient path is unchanged. Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
N.D. Admin. Code 75-02-02.1-05 covers aged, blind and disabled people as categorically needy only if they receive SSI; those who do not are medically needy under (3)(e). The 209(b) SSI-recipient path does not read the gated variable, so North Dakota's SSI recipients are unaffected. Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
… exclusion and couple disregard Arkansas's ARSeniors group covers only people aged 65 or older (MS 23110). Maine excludes up to $8,000 / $12,000 of savings from countable assets (22 M.R.S. § 3174-AA(2)), and its couple disregard is $20 plus $80 (10-144 C.M.R. ch. 332, Chart 3.1). Closes PolicyEngine#10385 Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
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Closes #10385
Stacked on #10361. Until #10361 merges, the diff also shows its three commits. This PR's own change is commit 08cfcae.
What and why
Arkansas: ARSeniors covers only aged people
is_optional_senior_or_disabled_for_medicaidaccepts anyone who isis_ssi_aged_blind_disabled. Arkansas's group for this pathway, ARSeniors, covers only people aged 65 or older.senior_or_disabled.covers_blind_or_disabled, by state. It is false for Arkansas from 2002-10-01, when ARSeniors started (Policy Directive MS 02-07), and true elsewhere from 2018-01-01. That date matches the othersenior_or_disabledfiles.is_optional_senior_or_disabled_for_medicaid: where the flag is false, the person must beis_ssi_aged(65 or older) instead ofis_ssi_aged_blind_disabled.Maine: savings exclusion
Maine excludes up to $8,000 of savings for an individual and $12,000 for a couple. Only the excess counts toward the $2,000 / $3,000 limit. The model counted all of
ssi_countable_resources.gov.states.me.dhhs.medicaid.savings_exclusion.individual($8,000) and.couple($12,000), from 2002-01-01, the date in 22 M.R.S. § 3174-AA.is_optional_senior_or_disabled_asset_eligiblesubtracts the exclusion from the marital unit's resources in Maine, floored at zero, before the existing limit test. The couple amount applies when the marital unit has two people. That covers an eligible couple and an eligible person with an ineligible spouse, whose assets are deemed (Part 7, § 7-1, Section 1.3).Definition of savings. Part 16, § 16-4, Section 4.47 counts as savings: savings and checking accounts, IRAs, Keoghs, annuity cash value, stocks, bonds, mutual funds and life insurance cash surrender value. One exclusion covers all of these accounts together.
ssi_countable_resourcesaddsbank_account_assets,stock_assetsandbond_assets, all of which are savings under that list. So the exclusion applies to the whole ofssi_countable_resources, and no new inputs are needed. The model doesn't count IRAs, Keoghs, annuities or life insurance as resources at all, so leaving them out of the exclusion changes nothing.Maine: couple income disregard
Chart 3.1 sets a $20 federal disregard plus a state disregard of $55 for an individual and $80 for a couple, effective July 1, 1987. The individual value ($75) was already right. The couple value changes from $75 to $100, dated 1987-07-01. The ME line stays its own hunk; #10364 edits only the CA, CT and SC lines and appends its references after the Connecticut entries, and the Maine references sit after the KFF entry.
The couple value also feeds
medicaid_optional_senior_or_disabled_income_deemed_from_ineligible_spouse. So when SSI deeming applies, an eligible person with an ineligible spouse also gets $100. That matches Part 7, § 7-4, Section 4.3, which uses the "State Disregard for two" for "a couple or an eligible individual with an ineligible spouse".Sources
Each was read on 2026-10-22.
The AR Quick Reference returns 403 to scripts. It was read through the Wayback Machine capture of 2025-10-30.
Readers checked
medicaid_categoryADULTcomes beforeSENIOR_OR_DISABLED. So blind or disabled Arkansans under 65 who leave the pathway are mostly people on Medicare, who are outside the adult group. They fall toMEDICALLY_NEEDYwhere they qualify (#10374 switches Arkansas's group on), or toNONE. In Maine, more people with savings, and some couples, now land inSENIOR_OR_DISABLED.is_209b_ssi_recipient_for_medicaidis_optional_senior_or_disabled_asset_eligible, but neither Arkansas nor Maine is a 209(b) state. Unchanged.medicaid_group,is_medicaid_eligibleand their readers (ACA PTC, Lifeline, CHIP and others)No partner test has an Arkansas or Maine household. No existing YAML case asserts an output that these changes move.
Tests
is_optional_senior_or_disabled_for_medicaid.yamlis_optional_senior_or_disabled_asset_eligible.yamlmedicaid_optional_senior_or_disabled_countable_income.yamlNot changed here
Merge order
Merge this after #10361 and #10364.
Test merges of this branch (08cfcae) on 2026-10-22:
is_optional_senior_or_disabled_asset_eligible.yamlandmedicaid_optional_senior_or_disabled_countable_income.yaml. Keep both sides. The disregard file andis_optional_senior_or_disabled_asset_eligible.pymerge cleanly, and the merged formula applies the Maine exclusion before #10364's MSP-limit selection. Maine'suses_msp_limitis false there.Test plan
ruff formatchangelog.d/🤖 Generated with Claude Code