TN 15 (12-89)
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Denial for periods of confinement to a public institution.
(1) cannot be eligible to receive Supplemental Security Income payments for any full
month in which (2) in a public institution unless Medicaid pays more than half the cost of (3) care. Our records show that (4) in a public institution and Medicaid (5) not pay more than half the cost of (6) care for (7) (8) .
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(1)
Choice 1 - You
Choice 2 - She
Choice 3 - He
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(2)
Choice 1 - you are
Choice 2 - she is
Choice 3 - he is
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(3)
Choice 1 - your
Choice 2 - her
Choice 3 - his
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(4)
Choice 1 - you will be
Choice 2 - she will be
Choice 3 - he will be
Choice 4 - you were
Choice 5 - she was
Choice 6 - he was
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(5)
Choice 1 - does
Choice 2 - did
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(6)
Choice 1 - your
Choice 2 - her
Choice 3 - his
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(7)
Choice 1 - the full month of (Month/Year)
Choice 2 - each full month (Month/Year) through (Month/Year)
Choice 3 - each full month (Month/Year) on
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(8)
Choice 1 - , for
Choice 2 - and for
Choice 3 - .
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Eligibility or payment stopped due to admission to a public institution.
(1) (2) in a public institution (3) (4) (5) not eligible (6) for any full month in which (7) in a public institution unless Medicaid pays more than half the cost of (8) care.
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(1)
Choice 1 - You
Choice 2 - She
Choice 3 - He
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(2)
Choice 1 - are
Choice 2 - is
Choice 3 - were
Choice 4 - was
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(3)
Choice 1 - for the month of (Month/Year)
Choice 2 - for each full month (Month/Year) through (Month/Year)
Choice 3 - for each full month (Month/Year) on
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(4)
Choice 1 - ,
Choice 2 - and
Choice 3 - .
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(5)
Choice 1 - You are
Choice 2 - She is
Choice 3 - He is
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(6)
Choice 1 - to receive Supplemental Security Income payments
Choice 2 - under the Supplemental Security Income program
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(7)
Choice 1 - you are
Choice 2 - she is
Choice 3 - he is
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(8)
Choice 1 - your
Choice 2 - her
Choice 3 - his
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The old record showed that the claimant was a resident of a public institution, but
we found he/she was released for part or all of that period.
(1) (2) not in a public institution (3) (4) .
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(1)
Choice 1 - You
Choice 2 - She
Choice 3 - He
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(2)
Choice 1 - are
Choice 2 - is
Choice 3 - were
Choice 4 - was
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(3)
Choice 1 - for the full month of (Month/Year)
Choice 2 - for each full month (Month/Year) through (Month/Year)
Choice 3 - for each full month (Month/Year) on
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(4)
Choice 1 - ,
Choice 2 - and
Choice 3 - .
References:
Eligibility notices for individuals eligible for continuation of benefits because they are temporarily institutionalized (section 1611(e)(1)(G))
Individuals Paid Under Section 1611(e)(1)(E), SI 02302.320, notices 1, 2, 5, 6, 9 and 12