(a) To be eligible for Medicaid benefits, an individual must be related to one of the following programs:

• (1) Aid to the Aged
• (2) Aid to the Disabled
• (3) Aid to the Blind
• (4) Pregnancy-Related Services
• (5) Aid to Families With Dependent Children

(b) Categorical relationship for (a)(1) through (a)(3) above is established using the same criteria and definitions of age, disability and blindness as are used by the Social Security Administration (SSA) in determining eligibility for Supplemental Security Income (SSI) or SSA benefits.  If the individual is an aged, blind, or disabled SSA/SSI recipient in current payment status (including presumptive eligibility), or a TANF recipient, categorical relationship is already  established.

(c) Categorical relationship to pregnancy-related services is established when the determination is made by medical evidence that the individual is or has been pregnant.  Pregnancy-related services include all medical services provided within the scope of the program during the prenatal, delivery and post-partum periods.

(d) Categorical relationship to AFDC is established by determining deprivation due to absence, death or incapacity the same as for the TANF money payment.

(e) It is the responsibility of the OHCA Level of Care Evaluation Unit (LOCEU) to determine categorical relationship to incapacity or disability for an individual when appropriate.  It is the responsibility of DHS to provide the necessary information to the LOCEU in order to make these determinations.

(f) Once categorical relationship has been determined, financial need must be established