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redetermination of countable income through the integrated eligibility system (IES). 3. Sherlock Plan for Working People with Disabilities and the Ticket to Work Program – Applicants who qualify for Medicaid coverage under more than one (1) eligibility pathway may choose the pathway most suited to their unique needs. Accordingly, the Sherlock or Ticket to Work eligibility pathways are also available for applicants and beneficiaries who qualify through the medically needy pathway but are unable to obtain the supports they need through a spenddown. C. The respective roles and responsibilities of the State and applicants/beneficiaries with disabilities who are working and seeking initial or continuing Medicaid coverage through the EAD pathway are set forth in Part 40-05-1 of this Title. 1.7 Medicaid Affordable Care Coverage (MACC) MAGI-Eligible Adults A. Working adults with disabilities who are eligible through the Medicaid Affordable Care Coverage (MACC) groups in: the ACA adult expansion pathway for persons ages nineteen (19) through sixty-four (64); the parent/caretaker pathway; or pregnant people pathway may obtain the work-related services and supports they need through their Medicaid managed care plan or, if enrolled in fee-for- service or a RIte Share approved employer-sponsored insurance plan, through certified Medicaid providers. Pre-authorization of services by the plan or Medicaid provider is required unless a disability determination has been made by the Medicaid Assessment and Review Team (MART) or another government entity such as the Federal Social Security Administration (SSA). B. There are no special disregards for working adults with disabilities available through the MAGI methodology for determining income eligibility. However, MACC eligible beneficiaries, including those who qualify for Medicaid LTSS, are not liable under Federal law to pay a share of the costs of their care. C. If earnings from work increase income above the applicable MACC group eligibility limit, applicants and beneficiaries must seek coverage through an alternative Medicaid eligibility pathway that uses the SSI methodology and requires a formal disability determination by the MART, unless such a determination has already been made by another government authority including the SSA. The IES automatically evaluates persons for these alternative forms of eligibility if they do not qualify for MACC group coverage due to excess income. Depending on a person’s income and resources and level of need, the available pathways are as follows: 1. Community Medicaid (Non-LTSS) – The three (3) alternative eligibility pathways for MACC eligible working adults with disabilities who are not seeking or do not meet the level of care criteria for the full scope of