<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.41.03" title_num="10" subtitle_num="09" chapter_num="41" heading="Nonfinancial Eligibility.">
  <paragraph num="A.">
    <text>The Department shall determine whether an applicant or recipient meets the nonfinancial eligibility requirements for Medical Assistance benefits under this regulation.</text>
  </paragraph>
  <paragraph num="B.">
    <text>An applicant or participant meets the nonfinancial eligibility requirements for Medical Assistance benefits under this regulation if the applicant or participant:</text>
    <paragraph num="(1)">
      <text>Is 16 years old or older, but younger than 65 years old;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is employed, except when an unemployment grace period described under Regulation .07 of this chapter applies, and verifies employment and compliance with all applicable requirements relating to FICA, income tax reporting, withholding, and payment requirements, including, if self-employed, payment of estimated taxes, by submitting documentation such as:</text>
      <paragraph num="(a)">
        <text>Pay stubs;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A letter from the employer verifying the applicant's or recipient's employment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Bank statements showing deposits of earnings;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Income tax returns;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Evidence of payment of estimated taxes; or</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Business ledgers;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Except for the consideration of substantial gainful activity, meets the definition of disability in §1614(a)(3) of the Social Security Act, as determined by:</text>
      <paragraph num="(a)">
        <text>The Department pursuant to a disability determination process for applicants who have not had a disability determination completed by the Social Security Administration within the time period prescribed in §C(2) of this regulation; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Social Security Administration, if the applicant or recipient:</text>
        <paragraph num="(i)">
          <text>Receives SSDI benefits; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Has lost eligibility for SSDI or SSI for any reason other than medical improvement;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>As specified in COMAR 10.09.24:</text>
      <paragraph num="(a)">
        <text>Meets the eligibility requirements for Medical Assistance as to:</text>
        <paragraph num="(i)">
          <text>Citizenship; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Residency; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Is not:</text>
        <paragraph num="(i)">
          <text>An institutionalized person;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An inmate of a public institution; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>An inpatient in an institution for mental disease; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Is not a current recipient of:</text>
      <paragraph num="(a)">
        <text>Comprehensive Medical Assistance benefits pursuant to COMAR 10.09.24; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Benefits under the Maryland Children's Health Program pursuant to COMAR 10.09.11 or 10.09.43.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Periodic Redetermination of Disability.</text>
    <paragraph num="(1)">
      <text>The Department shall periodically review a recipient's impairments to determine continuing disability status, consistent with §C(2) of this regulation.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Frequency of Continuing Disability Reviews. The Department may schedule the periodic disability reviews required by §C(1) of this regulation at a frequency that is consistent with the time frames set forth in federal law and regulations as specified in 20 CFR §416.989, as amended, and 20 CFR §416.990, as amended, which are incorporated by reference.</text>
    </paragraph>
  </paragraph>
</regulation>