TITLE 1: GOVERNMENT
DIVISION 2: EXECUTIVE BRANCH
§ 20196. Coverage and Conditions of Eligibility. (a) Medicaid is available to the following individuals: (1) All Supplemental Security Income cash assisted recipients; (2) Low-income individuals who meet the current Supplemental Security Income resource and income Levels and any applicable disregards and exemptions for the determination of eligibility, who: (i) Are U.S. citizens, lawfully admitted permanent residents or legally present in the U.S., or permanently residing in the U.S. under color of law; and (ii) Establish residency in Commonwealth of the Northern Mariana Islands. (b) The same eligibility requirements will be made applicable to all individuals except for those who are receiving Supplemental Security Income. (c) As a condition of eligibility, each legally able applicant and recipient must assign his rights to medical support or other third-party payments to the Commonwealth Medicaid Agency and must cooperate with the agency in obtaining medical support and payments. (d) The income and resources of parents, including stepparents with nonSupplemental Security Income children under age 18 will be counted if the child(ren) live(s) within the same household unless emancipation of the minor child(ren) can be demonstrated by legal court documents. (e) Spend-down. The Commonwealth Medicaid Agency may allow spenddown for individuals whose income is in excess of the established income criteria, provided the amount in excess is less than the cost of medical services. The monthly spend-down amount in such cases will be the amount of income in excess of the monthly Supplemental Security Income standard. The recipient will first have to incur the spend-down amount before Medicaid can pay for the difference. Source: PL 21-28, § 2 (May 22, 2020). Commission Comment: The Commission numbered this section pursuant to 1 CMC § 3806(a).