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AGED, BLIND, AND DISABLED MEDICAID 201-6 Montana Medicaid for Workers with Disabilities (MWD)

Supersedes: MA 201-6 (10/01/2018) Reference: 42 USC 1396a(a)(10)(A)(ii)(XIII); MCA 53-6-113(6), 53-6-131(13), 53-6-195; ARM 37.82.101, 37.82.1002-1007 Overview: Working disabled Medicaid clients may qualify for the Montana Medicaid for Workers with Disabilities (MWD) program by paying a cost share fee. Coverage is limited to individuals who: 1. Meet all Medicaid non-ﬁnancial requirements, 2. Are currently considered disabled, or would be considered disabled under Social Security Act criteria if not for their current work activities, or for whom a disability determination under SSA criteria is not required due to being aged (65+); 3. Are age 16 or older, 4. Are employed or self-employed, as deﬁned in this policy, 5. Are within the MWD program resource limits (CMA 001 General Resource Limits) (Asset transfer evaluations apply to MWD Waiver); NOTE: Retirement accounts the aged/disabled worker owns are excluded only for MWD eligibility, 6. Have countable income at or below 250% of federal poverty level, NOTE: Parental deeming and spousal impoverishment rules do not apply to MWD Waiver eligibility. 7. Are not residing in residential medical institutions, and 8. Pay a monthly cost share fee, which is based on only the aged/disabled worker’s income. For married individuals see cost share fee information below.

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Official source

AGED, BLIND, AND DISABLED MEDICAID 201-6 Montana Medicaid for Workers with Disabilities (MWD)

Supersedes: MA 201-6 (10/01/2018) Reference: 42 USC 1396a(a)(10)(A)(ii)(XIII); MCA 53-6-113(6), 53-6-131(13), 53-6-195; ARM 37.82.101, 37.82.1002-1007 Overview: Working disabled Medicaid clients may qualify for the Montana Medicaid for Workers with Disabilities (MWD) program by paying a cost share fee. Coverage is limited to individuals who: 1. Meet all Medicaid non-ﬁnancial requirements, 2. Are currently considered disabled, or would be considered disabled under Social Security Act criteria if not for their current work activities, or for whom a disability determination under SSA criteria is not required due to being aged (65+); 3. Are age 16 or older, 4. Are employed or self-employed, as deﬁned in this policy, 5. Are within the MWD program resource limits (CMA 001 General Resource Limits) (Asset transfer evaluations apply to MWD Waiver); NOTE: Retirement accounts the aged/disabled worker owns are excluded only for MWD eligibility, 6. Have countable income at or below 250% of federal poverty level, NOTE: Parental deeming and spousal impoverishment rules do not apply to MWD Waiver eligibility. 7. Are not residing in residential medical institutions, and 8. Pay a monthly cost share fee, which is based on only the aged/disabled worker’s income. For married individuals see cost share fee information below.