A. a Stepfather, Stepmother, Stepbrother Or Stepsister;

Volume IV OMTL-423 Family Medicaid R. 7/11/12

MS 2410 THE SPECIFIED RELATIVE (SR) AND THE SECOND PARENT (1)

The SR is the relative in whose home the MA child lives. If the SR is a relative other than a parent, they are considered a non-responsible SR. If both parents are in the home the second parent must be included in the case whether the parents are married (legally married or recognized as married through common- law by another state) or unmarried if paternity has been adjudicated by the court or administratively established.

A. The SR:

If the parent or minor parent is not in the home, the SR may be any blood relative of the child, including: a grandfather, grandmother, brother, sister, uncle, aunt, nephew, niece, first cousin. Also, relatives of the half-blood and preceding generations as denoted by prefixes of grand, great, or great- great. A second cousin or cousin further removed does not meet the definition of an SR.

1. The SR may also be any of the following:

a. A stepfather, stepmother, stepbrother or stepsister; NOTE: A step-grandparent does not meet the definition of an SR. b. A legally adopted and/or natural child of the adoptive parent, and other relatives of such parents; c. The husband or wife of any persons listed above even if their marriage has been terminated; or d. The alleged parent or a relative of the alleged parent may be determined a blood relative through the administrative establishment of relationship.

2. For a minor parent/legal guardian living with an individual who is the minor's parent/legal guardian and the individual is:

a. Applying for or receiving MA for children of the minor, the SR is the minor's parent/legal guardian meeting the definition of SR; and b. Applying for or receiving MA for siblings of the minor, the SR is the minor's parent/legal guardian, meeting the definition of SR.

B. The Second Parent:

The second parent can be either parent; however the common child must be deprived due to one or both of the parents being incapacitated, unemployed or underemployed. If both parents are in the home but not married, the father must be included in the case, if paternity has been adjudicated by the court or administratively established.

A second parent can also be any of the following:

1. The second parent may also be the incapacitated or unemployed step parent who is the parent of a sibling of a Family MA child, and living in the home. MS 2410 (2)

2. An incapacitated step parent living in the home who is NOT a parent of a sibling of a Family MA child, BUT is legally married to the SR, or recognized as married to the SR through common-law by another state, is eligible in the “L” category ONLY.

Note: Incapacity is the only deprivation that qualifies a step parent with no common child in the home for benefits. If the step parent is NOT included in the case, then the system will test budget his/her income.

[C. Death of SR during pending application.

In order to provide MA coverage for the eligible SR who dies after application is made, but before it is processed, complete the following:

1. Deny the application;

2. Enter a reapplication with a new SR;

3. Backdate the application date to the original date; and

4. List the deceased parent as SP in the reapplication, with appropriate “from/to” dates.

The system approves the case for the new SR and the children. A medical card is issued for the deceased SP based on the “from/to” dates.]