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AGED, BLIND, AND DISABLED MEDICAID 012 Table of Standards: Qualified Disabled Working Individual

Supersedes: ABD 012 (04/01/2025) Reference: ARM 37.83.401, .402, .406, 37.82.101

Overview: Effective April 1, 2026, use the following standards to determine income eligibility for Qualified Disabled Working Individuals (QDWI). Applicants with monthly countable income in excess of the QDWI income standard; 200 percent of the federal poverty level are not eligible for QDWI coverage. Individual: $2,660 Couple: $3,607 QDWI is not a Medicare Savings Program. A recipient cannot be open for QDWI and another Medicaid program at the same time. He or she must choose one program (for example, choose between QDWI and Medically Needy coverage).

BENEFITS: An eligible QDWI is entitled to have only monthly Medicare Part A (hospital insurance) premiums paid by Medicaid. "Regular" Medicaid benefits (e.g. physician visits, hospitalization, etc.) are not available to QDWIs. Effective Date: 04/01/2026

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Official source

AGED, BLIND, AND DISABLED MEDICAID 012 Table of Standards: Qualified Disabled Working Individual

Supersedes: ABD 012 (04/01/2025) Reference: ARM 37.83.401, .402, .406, 37.82.101

Overview: Effective April 1, 2026, use the following standards to determine income eligibility for Qualified Disabled Working Individuals (QDWI). Applicants with monthly countable income in excess of the QDWI income standard; 200 percent of the federal poverty level are not eligible for QDWI coverage. Individual: $2,660 Couple: $3,607 QDWI is not a Medicare Savings Program. A recipient cannot be open for QDWI and another Medicaid program at the same time. He or she must choose one program (for example, choose between QDWI and Medically Needy coverage).

BENEFITS: An eligible QDWI is entitled to have only monthly Medicare Part A (hospital insurance) premiums paid by Medicaid. "Regular" Medicaid benefits (e.g. physician visits, hospitalization, etc.) are not available to QDWIs. Effective Date: 04/01/2026