Special Medical is a group of categories that allow clients to continue receiving medical assistance despite their income when specified increases in income are received.  All the categories require client to have received the State Supplemental Payment (SSP) at a specified point but are no longer receiving it because their income has increased.  Keep in mind that only the income from the categories below is disregarded.  The individual must meet the individual resource standard of $2,000.  If the individual starts receiving any other income, it must be counted in re-determining eligibility.

There are several categories in which individuals considered Special Medical can be placed in. This article is specific to the Disabled Adult Child (DAC).

Disabled Adult Child (DAC) – following conditions are met:

1. An application for DAC is filed;
2. Individual meets the definition of “disabled” as it applies to all social security disability insurance (SSDI) applicants;
3. Individual is not married, or is married to a social security beneficiary;
4. Is at least 18 years of age or older and under a disability, which must have begun before age 22; and
5. The parent of the individual is entitled to SSDI, retirement insurance benefits, or is deceased.
6. lost SSP due to receipt of or increase in RSDI dependent benefits bases on their own disability and meets all other factors of eligibility.
7. If the client has income other than the RSDI dependent benefit, the client can stay eligible for Special Medical if the non-RSDI income is under the individual SSI standard.

In some cases, a child may be eligible for DAC benefits on the account of a grandparent or stepparent.

*Just because an individual qualifies for Special Medical, does not necessarily automatically qualify them for Medicare Savings Programs (MSP) – QMB and SLMB.  The individual must meet the income guidelines for those programs to qualify.  This does not apply to QI-1 because individuals cannot have both Medicaid and QI-1 at the same time.