The special benefits for institutionalized 1619 eligibles apply only to months throughout
which an recipient is a resident in one or more of the institutions described in SI 00520.130B.1. in this section. They do not apply to a month in which an recipient ceases to be
a resident of such institutions.
Examples of special benefits for institutionalized 1619 eligibles.
Example 1: Special benefits apply for two full months
Brian, who was eligible for benefits under 1619(a) in February, entered the hospital
on February 17 and was transferred to a nursing home on March 3. Medicaid paid for
their care in both facilities. Brian stayed in the nursing home until May 24, when
Brian returned home.
The special benefits apply for March and April, the two full months during which Brian
met the requirements in SI 00520.130B.1. in this section.
Example 2: Special benefits apply for one month only
Edith, who was eligible under 1619(b) in June, was admitted to a state psychiatric
hospital on June 12 and was discharged on August 11. Medicaid did not pay for any
of Edith's care, and the hospital agreed to permit Edith to retain their special benefits.
The special benefits apply for July, the only full month during which Mrs. Edwards
met the requirements in SI 00520.130B.1 in this section.