Page 1

AGED, BLIND, AND DISABLED MEDICAID 201-7 Qualified Disabled Working Individuals (QDWI) Supersedes: MA 201-10 (09/01/98) Reference: ARM 46.12.3601 and .3603 Overview: An eligible Qualified Disabled Working Individual (QDWI) is a person: 1. who is entitled to re-enroll in Medicare Part A hospital insurance coverage because he/she lost premium-free Part A coverage due to engaging in a substantial gainful activity; 2. who meets all nonfinancial requirements which include: a. being categorically eligible (i.e., disabled); b. having or applying for a Social Security Number; c. being a U. S. citizen or legally admitted alien; and d. being a Montana resident; 3. whose income does not exceed 200% of the federal poverty guideline; and 4. whose resources do not exceed twice the Supplemental Security Income (SSI) general resource limit. RETROACTIVE: Up to three months retroactive coverage is available to eligible QDWIs. COVERAGE BENEFITS: A QDWI is only entitled to have monthly Medicare Part A (hospital insurance) premiums paid by Medicaid. Regular Medicaid benefits (e.g., prescriptions, physician visits, dental care, etc.) are not available to QDWIs. Effective Date: July 01, 2016