Page 160

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

160 2. Retroactive coverage is available according to 8.100.3.E, however is not available prior to program implementation 3. Individuals have the option to request to be disenrolled if they have been enrolled into the Medicaid Buy-In Program for Working Adults with Disabilities. This is also called “opt out.” 8.100.6.Q. Medicaid Buy-In Program for Children with Disabilities 1. To be eligible for the Medicaid Buy-In Program for Children with Disabilities: a. Applicants must be age 18 or younger. b. Household income will be considered and must be less than or equal to 300% of FPL after income disregards. The following rules apply: i) 8.100.4.E - MAGI Household Requirements ii) 8.100.5.F - Income Requirements iii) 8.100.5.F.6 - Income Exemptions iv) 8.100.5.H. Income Allocations and Disregards c. Resources are not counted in determining eligibility. d. Individuals must have a disability as defined by Social Security Administration medical listing. e. Children age 16 through 18 cannot be employed. If employed, children age 16 through 18 will be determined for eligibility through the Medicaid Buy-In Program for Working Adults with Disabilities. f. Families are required to enroll in medical family coverage offered through an employer-based group health plan if they are eligible and if the employer contributes at least 50% towards the plan premiums. g. Families will be required to pay monthly premiums on a sliding scale based on household size and income. i) For families whose income does not exceed 200% of FPL, the amount of premiums and cost-sharing charges cannot exceed 5%