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COST SHARE FEES: Medicaid coverage is issued to an eligible MWD client for any benefit month the cost share fee is paid. Cost share fees are based on only the aged/disabled worker’s income. MWD eligible clients who are married, and whose spouse does not qualify for MWD, have their cost share determined based on only their net countable income (the spouse’s income is NOT included). If both spouses qualify for MWD, the cost share fee is based on their combined net countable income. A cost share fee is not the same as a spend down. A cost share fee cannot be reduced by applying medical expenses such as health insurance premiums, copays or other out- of-pocket medical costs. Effective Date: 05/01/2025