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through 64 who previously received HCWD in the Basic Coverage Group but lost eligibility in this group because their medical conditions improved to the point where they no longer meet the Social Security/SSI definition of disability.

2. Although no longer considered disabled by Social Security due to medical improvement, the individual must continue to have a severe medically determinable impairment.

3. Eligibility in the Basic Group for any period of time qualifies an individual for eligibility in the Medically Improved Group if they meet all other eligibility requirements.

4. Eligibility in the Medically Improved Group can begin no earlier than the month after coverage ends in the Basic Group.

IV. ELIGIBILITY REQUIREMENTS

A. Generally

To be eligible to receive HCWD, a beneficiary must:

1. Be at least 16 years of age, but less than 65 years of age.

2. Meet the Social Security Administration (SSA) definition of disability except for earnings or being eligible under the Medically Improved Group.

3. Be employed. 4. Have countable resources equal to or less the minimum community spouse resource allowance. Refer to MA-2231, Community Spouse Resource Protection policy, whether budgeted as an HCWD individual or HCWD couple. 5. Meet the income requirements for their coverage group.

B. Meet all the other eligibility requirements applicable to Adult Medicaid coverage groups. Refer to MA-2000, Non-SSI Eligibility Regulations policy.

C. Disability To be eligible in the Basic Coverage Group, the applicant/beneficiary (a/b) must meet the Social Security/SSI definition of disability other than the requirement that the a/b not be engaged in a substantial gainful activity. Disability can be proven by 1, 2 or 3 below.

Docusign Envelope ID: B8C63DC7-7367-4210-853E-B7B004802EE4