Automated Client Eligibility (ACES) program codes
Revised date
Codes on this page:
A01-A24 | D01-D26 | F99 | G01-G99 | K01-K99 | L01-L99 | M99 | N01-N33 | P06-P99 | R02-R03 | S01-S99 | T02
Scope legend: CNP = Categorically Needy Program MNP = Medically Needy Program ERSO = Emergency Related Services Only (AEM) MSP = Medicare Savings ABP = Alternative Benefit Plan
A01-A24
| ACES | Program | Description | Scope |
|---|---|---|---|
| A01 | Medical care services and ABD cash with CN Medicaid | State funded Medical Care Services and ABD Cash Aged/Blind/Disabled | State funded |
| A05 | Medical care services and ABD cash with CN Medicaid | Medical Care Services non citizen (under 65, incapacitated) | State funded |
| A24 | Medical care services and ABD cash with CN Medicaid | Medical Care Services non citizen SFA for survivors of certain crimes | State funded |
D01-D26
| ACES | Program | Description | Scope |
|---|---|---|---|
| D01 | Foster Care | SSI Recipient Foster Care or Adoption Support or Juvenile Rehabilitation | CNP |
| D02 | Foster Care | Foster Care or Adoption Support or Juvenile Rehabilitation | CNP |
| D26 | Federal Foster Care | Former Foster Care expansion to age 26 years | CNP |
F99
| ACES | Program | Description | Scope |
|---|---|---|---|
| F99 | Family related medical assistance | Medically needy children spenddown | MNP |
G01-G99
| ACES | Program | Description | Scope |
|---|---|---|---|
| G01 | Medical care services and ABD cash with CN Medicaid | MCS Medical care services (ended 8/31/2014) | State funded |
| G02 | Medical care services and ABD cash with CN Medicaid |
ABD cash plus either:
|
CNP |
| G03 | SSI Related living in an Alternative Living Facility (Non Medical Institution) Adult Family Home, boarding home or DDD Group Home | Non Institutional Medical in ALF CNP income under the SIL plus under state rate x 31 days + 38.84 | CNP |
| G95 | SSI Related living in an Alternative Living Facility (Non Medical Institution) Adult Family Home, boarding home or DDD Group Home | Medically Needy Non Institutional in ALF no Spenddown | MNP |
| G99 | SSI Related living in an Alternative Living Facility (Non Medical Institution) Adult Family Home, boarding home or DDD Group Home | Medically Needy Non Institutional in ALF with Spenddown | MNP |
K01-K99
| ACES | Program | Description | Scope |
|---|---|---|---|
| K01 | Institutional family/children | Categorically Needy family in medical institution | CNP |
| K03 | Institutional family/children | Undocumented Alien family in medical institution - Emergency Related Service Only | ERSO |
| K95 | Institutional family/children | Family LTC Medically Needy no Spenddown in Medical Institution | MNP |
| K99 | Institutional family/children | Family LTC Medically Needy with Spenddown - in Medical Institution | MNP |
L01-L99
| ACES | Program | Description | Scope |
|---|---|---|---|
| L01 |
Institutional SSI - related Residing in a medical institution 30 days or more |
SSI recipient in a Medical Institution - Residing in a medical institution 30 days or more | CNP |
| L02 |
Institutional SSI - related Residing in a medical institution 30 days or more |
SSI related CNP in a medical institution income under the SIL | CNP |
| L04 |
Institutional SSI - related Residing in a medical institution 30 days or more |
Undocumented alien/non-citizen LTC must be preapproved by ADSA program manager. Emergency related service only (45 slots) | ERSO - CNP |
| L21 | Institutional HCBS Waivers (HCS/DDD) and hospice |
DDD/HCS Waiver on SSI | CNP |
| L22 | SSI and SSI related | DDD/HCS Waiver - gross income under the SIL | CNP |
| L24 | SSI and SSI related | Undocumented alien/noncitizens LTC - residential placement; must be preapproved by ADSA program manager; Emergency related service only (45 slots) | ERSO - CNP |
| L31 | SSI and SSI related | PACE or Hospice on SSI (effective 10/1/2015) | CNP |
| L32 | SSI and SSI related | PACE or Hospice - SSI related (effective 10/1/2015) | CNP |
| L41 | SSI and SSI related | Roads to Community Living (RCL) on SSI (effective 10/1/2015) | CNP |
| L51 |
Noninstitutional community first choice Personal care services in the community |
Community First Choice CFC on SSI (effective 10/1/2015) | CNP |
| L52 |
Noninstitutional community first choice Personal care services in the community |
Community First Choice - SSI-Related at home or in an ALF (effective 10/1/2015) | CNP |
| L95 |
Institutional SSI - related Residing in a medical institution 30 days or more |
SSI related Medically Needy no Spenddown Income over the SIL; Income under the state rate | MNP |
| L99 | SSI and SSI related | Roads to Community Living - SSI related (effective 10/1/2015) | CNP |
| L99 |
Institutional SSI - related Residing in a medical institution 30 days or more |
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 | MNP |
M99
| ACES | Program | Description | Scope |
|---|---|---|---|
| M99 | Psychiatric inpatient | Psychiatric indigent inpatient spenddown (MI prior to 7/2003) Mental health ONLY (ended 12/31/2013) |
Inpatient psychiatric hospital only |
N01-N33
| ACES | Program | Description | Scope |
|---|---|---|---|
| N01 | Modified Adjusted Gross Income (MAGI) | MAGI Parent/Caretaker Medicaid; Adult | CNP |
| N02 | Modified Adjusted Gross Income (MAGI) | 12 Month Transitional MAGI Parent/Caretaker Medicaid; Adult | CNP |
| N03 | Modified Adjusted Gross Income (MAGI) | MAGI Pregnancy | CNP |
| N04 | Modified Adjusted Gross Income (MAGI) | After Pregnancy | ABP |
| N05 | Modified Adjusted Gross Income (MAGI) | MAGI Adult Medicaid; Income =<133% (Medicaid Expansion) | ABP |
| N07 | Modified Adjusted Gross Income (MAGI) | After pregnancy; not Medicaid eligible during pregnancy | CNP |
| N08 | Modified Adjusted Gross Income (MAGI) | After pregnancy state funded; eligible during pregnancy, > 193% and = < 210% FPL | |
| N10 | Modified Adjusted Gross Income (MAGI) | MAGI Newborn Medical Birth to One Year | CNP |
| N11 | Modified Adjusted Gross Income (MAGI) | MAGI Children's Medicaid/Age Under 19 | CNP |
| N13 | Modified Adjusted Gross Income (MAGI) | MAGI Children's Health Insurance Program (CHIP) Children Under 19; Premium Payment Program | CNP |
| N20 | Modified Adjusted Gross Income (MAGI) | MAGI Adult Medical 19 - 64; Income = < 138% Apple Health Expansion | AHE - State funded |
| N21 | Modified Adjusted Gross Income (MAGI) | MAGI Parents/Caretaker; Alien Emergency Related Service Only | ERSO |
| N23 | Modified Adjusted Gross Income (MAGI) | MAGI Pregnancy; Not Lawfully Present | CNP |
| N24 | Modified Adjusted Gross Income (MAGI) | After pregnancy; not lawfully present | CNP |
| N25 | Modified Adjusted Gross Income (MAGI) | MAGI Adult - Alien Emergency Related Service Only | ERSO |
| N27 | Modified Adjusted Gross Income (MAGI) | After pregnancy; not lawfully present; not Medicaid eligible during pregnancy | CNP |
| N31 | Modified Adjusted Gross Income (MAGI) | MAGI Children's Medical; Under 19; Noncitizen | State funded CNP |
| N33 | Modified Adjusted Gross Income (MAGI) | MAGI Children's Health Insurance Program (CHIP): Under 19; Premium Payment Program, Noncitizen | State funded CNP |
P06-P99
| ACES | Program | Description | Scope |
|---|---|---|---|
| P06 | Family Planning Only | Family Planning Only | |
| P99 | Pregnancy | Medically Needy Pregnant Spenddown | MNP |
R02-R03
| ACES | Program | Description | Scope |
|---|---|---|---|
| R02 | Refugee medical assistance | Transitional 4 month extension | CNP |
| R03 | Refugee medical assistance | Refugee Categorically needy | CNP |
S01-S99
| ACES | Program | Description | Scope |
|---|---|---|---|
| S01 |
SSI and SSI Related |
SSI Recipients | CNP |
| S02 |
SSI and SSI Related |
ABD Categorically Needy | CNP |
| S03 |
SSI and SSI Related |
QMB Medicare Savings Program (MSP) Medicare premium and Medicare copays | MSP |
| S04 |
SSI and SSI Related |
QDWI Medicare Savings Program | MSP |
| S05 |
SSI and SSI Related |
SLMB Medicare Savings Program. Medicare Premium only | MSP |
| S06 |
SSI and SSI Related |
QI-1 (SLMB) Medicare Savings Program | MSP |
| S07 |
SSI and SSI Related |
Undocumented Alien - Emergency Related Service Only | ERSO |
| S08 | SSI Related Health Care for Workers w/disability | Health Care for Workers with Disability CNP Premium based program - Substantial Gainful Activity (SGA) not a factor in Disability determination. | CNP |
| S20 | Apple Health Eligibility | Classic Adult Medical 65+; Income = < 138% Apple Health Expansion | AHE - State Funded |
| S30 | Breast and Cervical Cancer Program | Breast and Cervical Cancer (Health Department Approval) | CNP |
| S95 |
SSI and SSI Related |
Medically Needy no Spenddown | MNP |
| S99 |
SSI and SSI Related |
Medically Needy with Spenddown | MNP |
T02
| ACES | Program | Description | Scope |
|---|---|---|---|
| T02 | Tailored supports for older adults (TSOA) HCS maintains TSOA cases |
TSOA - No medical benefits and no Medicaid services card issued Pre- Medicaid benefit for the caregiver of a person 55 or older to support the caregiver. For those not eligible for a CN or ABP Medicaid program and not needing or eligible for other LTSS services because of resources. Must meet NFLOC. |
No medical benefits |