Budgeting Procedures for Workers with Disabilities 510-05-90-65

(Revised 6/1/04 ML #2925)

View Archives

All income of the applicant or recipient and other members of the Medicaid unit must be considered.

The same budgeting applies regardless of whether the individual lives in the individual’s own home, a specialized facility, or a nursing facility.

Recipients with family income at or below 225% of the poverty level can be eligible under the Workers with Disabilities coverage.

If the 225% eligibility test is passed, the premium required to obtain the coverage is equal to 5% of the eligible individual’s gross income. If more than one individual in the case is eligible for Workers with Disabilities coverage, each individual's premium is determined separately based on their own income.