Procedures

Follow the steps below to determine QDWI eligibility.

Step 1 Accept the A/R’s Medicaid application. Step 2 Obtain information required to complete the eligibility determination. Step 3 Determine that the A/R is ineligible for full Medicaid coverage under all other COAs. Step 4 Obtain the following verification from the Social Security Administration: The termination of the A/R’s RSDI disability payment due to excessive earned income. The A/R’s eligibility for Part A Medicare coverage with a monthly premium. Step 5 Determine all basic eligibility criteria except LOS, LOC and TPR. Refer to Chapter 2200, Basic Eligibility Criteria. Step 6 Determine financial eligibility using the current QDWI income and resource limits. Refer to Chapter 2500, ABD Financial Responsibility and Budgeting to determine the following: whose income and resources to consider which SSI income and resource limit (individual or couple) to use which eligibility budget to complete. Step 7 Approve under QDWI COA if the A/R meets all the above eligibility criteria, including retroactive months if needed.

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Procedures

Official source

Follow the steps below to determine QDWI eligibility.

Step 1 Accept the A/R’s Medicaid application. Step 2 Obtain information required to complete the eligibility determination. Step 3 Determine that the A/R is ineligible for full Medicaid coverage under all other COAs. Step 4 Obtain the following verification from the Social Security Administration: The termination of the A/R’s RSDI disability payment due to excessive earned income. The A/R’s eligibility for Part A Medicare coverage with a monthly premium. Step 5 Determine all basic eligibility criteria except LOS, LOC and TPR. Refer to Chapter 2200, Basic Eligibility Criteria. Step 6 Determine financial eligibility using the current QDWI income and resource limits. Refer to Chapter 2500, ABD Financial Responsibility and Budgeting to determine the following: whose income and resources to consider which SSI income and resource limit (individual or couple) to use which eligibility budget to complete. Step 7 Approve under QDWI COA if the A/R meets all the above eligibility criteria, including retroactive months if needed.