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CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

157 6. Clients who would lose QI-1 entitlement due to annual social security COLA will remain eligible for QI-1 coverage under Medical Assistance, as an income disregard case, until the next year’s federal poverty guidelines are published. 8.100.6.O. Qualified Disabled And Working Individuals 1. Medical Assistance coverage is limited to monthly payment of Medicare Part A premiums, and any other Medicare cost sharing expenses determined necessary by CMS. 2. Effective July 1, 1990, a Qualified Disabled and Working Individual (QDWI) is an individual who: a. was a recipient of federal Social Security Disability Insurance (SSDI) benefits, who continues to be disabled but lost SSDI entitlement due to earned income in excess of the Social Security Administration's Substantial Gainful Activity (SGA) threshold, and; b. has exhausted SSA's allowed extension of “premium free” Medicare Part A coverage under SSDI, and; c. has resources at or below twice the SSI resource limit as described in section 8.100.5., and; d. has income less than 200% of FPL. 3. For QDWI purposes, income of the applicant and/or the spouse shall be determined as described under Income Requirements in section 8.100.5. If two or more individuals have earned income, the income of all the individuals shall be added together and the $65 plus one half remainder earned income disregard shall be applied to the total amount of earned income. 4. An individual may be eligible under this section only if he/she is not otherwise eligible under another Medical Assistance category of eligibility. 5. Eligibility for QDWI benefits shall be effective the month of determination of entitlement.

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Page 157

Official source

CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

157 6. Clients who would lose QI-1 entitlement due to annual social security COLA will remain eligible for QI-1 coverage under Medical Assistance, as an income disregard case, until the next year’s federal poverty guidelines are published. 8.100.6.O. Qualified Disabled And Working Individuals 1. Medical Assistance coverage is limited to monthly payment of Medicare Part A premiums, and any other Medicare cost sharing expenses determined necessary by CMS. 2. Effective July 1, 1990, a Qualified Disabled and Working Individual (QDWI) is an individual who: a. was a recipient of federal Social Security Disability Insurance (SSDI) benefits, who continues to be disabled but lost SSDI entitlement due to earned income in excess of the Social Security Administration's Substantial Gainful Activity (SGA) threshold, and; b. has exhausted SSA's allowed extension of “premium free” Medicare Part A coverage under SSDI, and; c. has resources at or below twice the SSI resource limit as described in section 8.100.5., and; d. has income less than 200% of FPL. 3. For QDWI purposes, income of the applicant and/or the spouse shall be determined as described under Income Requirements in section 8.100.5. If two or more individuals have earned income, the income of all the individuals shall be added together and the $65 plus one half remainder earned income disregard shall be applied to the total amount of earned income. 4. An individual may be eligible under this section only if he/she is not otherwise eligible under another Medical Assistance category of eligibility. 5. Eligibility for QDWI benefits shall be effective the month of determination of entitlement.