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• The person’s impairment requires the use of driver assistance, taxicabs, or other hired vehicles to work. The cost of the transportation provide is allowed, or if the person’s own vehicle is used, a mileage allowance is permitted. • A mileage allowance is allowed if the person cannot use public transportation due to the impairment, and not due to unavailability of public transportation, and must drive his or her unmodified vehicle. The person’s inability to use public transportation must be verified by a physician.

Medical devices, prosthetics, drugs, and other medical services are generally not allowable because Medicaid will pay for these items. However, medical services, equipment, and supplies which are not covered by Medicaid or a third party and are essential to enable the individual to work are allowable expenses. 3455.08.00 PREMIUM AND CATEGORY CHANGES IN MEDWorks (MED 1) Premium Changes: When a MEDWorks recipient reports a change that imposes a premium or causes a decrease or an increase in the monthly premium amount, the new premium is to be effective in accordance with change processing rules in Sections 2200.05 and 2220.10. The imposition of a premium for a MEDWorks recipient and an increase in the premium are adverse actions requiring timely notice. Category change to MEDWorks: When a Medicaid recipient in any other category becomes eligible for MEDWorks with a premium, it is an adverse action requiring timely notice. The current category will be closed, and the worker will conditionally approve MEDWorks. If a recipient in another category moves to MEDWorks with a premium prior to the adverse action date for the month, MEDWorks will begin the following month. Eligibility in the prior category will terminate as of the end of the month. Workers should remind recipients of the importance of paying the premium immediately upon receipt of the invoice so that Medicaid coverage does not lapse. Example 1: Jerry is receiving MA D with a $250.00 spend-down. He gets a job and MADW is authorized on 10/20, after the adverse action date. The premium is $69.00 effective 12/1. The worker must notify Jerry that his spend-down for November is $69.00, and then access CUMED to change it to $69.00. Example 2: Mary is receiving MA D with a $50.00 spend-down. She gets a job and MADW is authorized on 10/12, before adverse action date. Her premium is $69.00 effective 11/1. Her MA D closes 10/31 and MADW is conditional. She must pay her premium before 11/1 so that the Medicaid health coverage does not lapse. 3455.09.00 MEDWorks CONTINUATION WHEN EMPLOYMENT IS LOST