Automated Client Eligibility (ACES) program codes

Revised Date: 
January 1, 2018
Program ACES Description Scope

SSI and SSI Related

SSI and SSI related also called Aged/Blind/Disabled category

Disability is determined by SSA or by NGMA referral to DDDS

S01 SSI Recipients CN
S02 ABD Categorically Needy CN
S03 QMB Medicare Savings Program (MSP) Medicare premium and Medicare copayments MSP
S04 QDWI Medicare Savings Program MSP
S05 SLMB Medicare Savings Program. Medicare Premium only MSP
S06 QI-1 (ESLMB) Medicare Savings Program MSP
S07 Undocumented Alien. Emergency Related Service Only ERSO
S95 Medically Needy no Spenddown MN
S99 Medically Needy with Spenddown MN
Program ACES Description Scope

SSI Related

Living in an Alternative Living Facility (Non Medical Institution) Adult Family Home, assisted living facility or DDA Group Home

G03 Non Institutional Medical in ALF income under the SIL plus under state rate x 31 days + 38.84 CN
G95 Medically Needy Non Institutional in ALF no Spenddown MN
G99 Medically Needy Non Institutional in ALF with Spenddown MN
Program ACES Description Scope
SSI Related Health Care for Workers w/disability S08 Health Care for Workers with Disability Premium based program. Substantial Gainful Activity (SGA) not a factor in Disability determination. CN
Program ACES Description Scope
Institutional
HCBS Waivers, PACE, Roads to Community Living, Community First Choice and Hospice
SSI related
L21 Categorically Needy DDA/HCS Waiver or Hospice on SSI CN
L22 Categorically Needy DDA/HCS Waiver or Hospice - gross income under the SIL CN
L24 State funded LTC for noncitizens - in home or residential placement. Must be preapproved by ALTSA program manager. L04 and L24 is limited funding to 45 slots. ERSO - CN Scope
L31 PACE/Hospice on SSI CN
L32 PACE/Hospice, SSI related CN
L41 Roads to Community Living (RCL) on SSI CN
L42 Roads to Community Living (RCL) SSI related CN
L51 Community First Choice (CFC) on SSI CN
L52 Community First Choice (CFC)SSI related  CN
L95 Medically Needy Hospice in Medical Institution. Income over the SIL - no spenddown MN
L99 Medically Needy Hospice in Medical Institution. With Spenddown MN
Program ACES Description Scope
Institutional SSI L01 SSI recipient in a Medical Institution - Residing in a medical institution 30 days or more CN
Program ACES Description Scope
Institutional SSI Related
Residing in a medical institution 30 days or more
L02 SSI related CN-P in a Medical Institution Income under the SIL CN
L04 State funded LTC for noncitizens - nursing facility placement. Must be preapproved by ALTSA program manager. L04 and L24 program is limited funding to 45 slots. ERSO - CN scope
L95 SSI related Medically Needy no Spenddown Income over the SIL. Income under the state rate. MN
L99 SSI related Medically Needy with Spenddown Income over the SIL. Income over the state rate but under the private rate. Locks into state NF rate MN
Program ACES Description Scope
MAGI based Institutional K01 Categorically Needy MAGI in Medical Institution CN
K03 Undocumented Alien MAGI in Medical Institution Emergency Related Service Only ERSO
K95 MAGI based LTC Medically Needy no Spenddown in Medical Institution MN
K99 MAGI based LTC Medically Needy with Spenddown in Medical Institution MN
P02 Pregnant 185 FPL & Postpartum Extension CN
P04 Undocumented Alien Pregnant Woman CN scope
P05 Family Planning Service Only Family Planning
P06 Take Charge Family Planning Only  
P99 Medically Needy Pregnant Women & Postpartum Extension MN
Program ACES Description Scope

DCFS/JRA Medical

Foster Care

D01 SSI Recipient FC/AS/JRA Categorically Needy CN
D02 FC/AS/JRA Categorically Needy CN
D26 Title IV-E Federal Foster Care - Under 26 CN
Program ACES Description Scope
MAGI Family Related MA N01 MAGI Parent/Caretaker Medicaid; Adult CN
N02 12 Month Transitional MAGI Parent/Caretaker Medicaid; Adult CN
N03 MAGI Pregnancy CN
N05 MAGI Adult Medicaid; Income =<133% (Medicaid Expansion) ABP
N10 MAGI Newborn Medical Birth to One Year CN
N11 MAGI Children's Medicaid/Age Under 19 CN
N13 MAGI Children's Health Insurance Program (CHIP) Children Under 19; Premium Payment Program CN
N21 MAGI Parents/Caretaker; Emergency Only; AEM ERSO
N23 MAGI Pregnancy; Not Lawfully Present CN
N25 MAGI Adult Medicaid; Noncitizen - Income =<133% (Medicaid Expansion) AEM ERSO
N31 MAGI Children's Medical; Under 19; Noncitizen State Funded CN Scope of Care
N33 MAGI Children's Health Insurance Program (CHIP): Under 19; Premium Payment Program, Noncitizen State Funded CN Scope of Care
Program ACES Description Scope
Medical Care Services A01 State funded Medical Care Services and ABD Cash with CN Medicaid, Age >=65 years, or Blind, or Disabled MCS
A05 State funded Medical Care Services; person does not qualify for Medicaid due to alien status MCS
Program ACES Description Scope
Breast and Cervical Cancer Program S30 Breast and Cervical Cancer (Health Department Approval) CN
Program ACES Description Scope
Take Charge P06 Family Planning (Take Charge) Family Planning

CN = Categorically Needy MN = Medically Needy ERSO = Emergency Related Services Only (AEM) MSP = Medicare Savings ABP = Alternative Benefit Plan