Page 159

UPDATED: NOVEMBER 2007

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INCOME

MEDICAID BUY-IN PROGRAM FOR WORKING PEOPLE WITH DISABILITIES (MBI-WPD)

Policy: The federal poverty level is used to determine eligibility for MBI-WPD. The net countable income of the A/R is compared to 250% of the federal poverty level for the appropriate family size of a household for one or two.

SSI-related budgeting, including, disregards, allocation and deeming, is used for determining net available income. (See INCOME: SSI- RELATED DISREGARDS, SSI-RELATED BUDGETING METHODOLOGY, INCOME ALLOCATION, DEEMING, HEALTH INSURANCE PREMIUMS, IMPAIRMENT-RELATED WORK EXPENSES, BLIND WORK EXPENSES, PLAN TO ACHIEVE SELF- SUPPORT (PASS), and DETERMINATION OF ELIGIBILITY and REFERENCE INCOME ALLOCATION for a discussion of SSI-related budgeting.)

Reference: See CATEGORICAL FACTORS and RESOURCES: MEDICAID BUY- IN PROGRAM FOR WORKING PEOPLE WITH DISABILITIES, and OTHER ELIGIBILITY REQUIREMENTS MEDICAID BUY-IN PROGRAM FOR WORKING PEOPLE WITH DISABILITIES PREMIUM PAYMENTS for a discussion of other eligibility criteria for MBI-WPD.

SSL Sect. 366(1)(a)(12) & (13)

ADMs 04 OMM/ADM-5 03 OMM/ADM-4

NOTE: See REFERENCE MEDICALLY NEEDY INCOME AND FEDERAL POVERTY LEVELS for a chart displaying the Medicaid Levels and Federal Poverty Levels.

(MRG)