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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD B-310.5 MAABD MEDICAL CATEGORIES Division of Welfare and Supportive Services Medical Assistance Manual 25 Mar MTL 02/25 QUALIFIED DISABLED WORKING INDIVIDUALS (QDWI) d. Are not eligible for medical assistance under another Medicaid category. Note: A Medicaid card is not issued for this program. At the time premium-free Medicare coverage ends, SSA will mail a notice informing individuals of their right to enroll in the special Medicare hospital insurance (now at a cost) and their potential eligibility to have the premium paid by Medicaid. They will have a seven-month period to enroll, beginning with the month of notice. If they do not enroll during this time, they may still enroll during the annual general enrollment period (January through March) if they continue to meet the special requirements. Entitlement to this special Medicare hospital insurance can begin no earlier than July 1, 1990. Coverage of the special Medicare premium can begin the month of application (including three months prior to the month of application) if ALL eligibility criteria is met. Example: If an applicant applies for benefits on October 5th and is already enrolled in the special Medicare hospital insurance, eligibility can begin effective October (including three months prior). However, if in this example, the applicant's enrollment is not effective until November 1st, the applicant is not eligible any earlier than November. If the customer appears to be eligible under another category of assistance, pursue eligibility under that category first. If the customer is not eligible under any other Medicaid category, determine eligibility as a Qualified Disabled Working Individual. B-315 SUPPLEMENTAL SECURITY INCOME (SSI) Provides medical assistance to individuals who are: a. Verified SSI recipients; or b. Recipients of presumptive SSI payments; or c. In CO1 pay status per SOLQ/SDX but without monetary payment, due to an overpayment collection; or d. In EO2 status per SOLQ/SDX the month(s) prior to CO1 status; AND apply for Medicaid and meet the requirements under Cooperation, Residency, and Insurance Coverage. SSI Recipients could be living: a. Independently in the community; b. In an Adult Group Care Facility (AGCF) or in appropriate settings as determined by Medicaid; or c. In a medical facility when countable income is less than $30 a month.