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2. Reinstate in AC 059 beginning the first day of the following month. Use the date the MEDICAID WORKS request for the application date. Send a Notice of Action to the applicant/recipient advising him of his eligibility and acceptance into MEDICAID WORKS. Do not send the Advance Notice of Proposed Action when a recipient moves to MEDICAID WORKS, because his Medicaid coverage has not been reduced or terminated. Eligibility for MEDICAID WORKS continues as long as the enrollee continues to: • be employed, • meet the definition of disability or blindness, • meet the age limitation, and • does not exceed the income and resource limits for MEDICAID WORKS.

The MEDICAID WORKS enrollee continues to meet the disability criteria unless SSA has completed a Continuing Disability Review and has determined that the individual no longer has a disabling condition. The fact that the MEDICAID WORKS enrollee is earning over the SSA substantial gainful activity amount has no bearing on whether the disability criteria is met. In addition, an individual can still be considered disabled by SSA and not receive a monthly payment. After checking the disability status and termination date by electronic sources and if the enrollee’s disability status remains unclear, contact a Regional Medical Assistance Program Consultant for assistance. The individual’s continuing eligibility must be determined at least every 12 months. If the individual is no longer eligible for MEDICAID WORKS, evaluate the individual to determine if the individual remains eligible in any other covered group. The policy in M0320.400 G. above must be reviewed to determine whether the resource exclusion safety net rules apply. If the individual is not eligible for Medicaid in any other covered group, coverage shall be cancelled effective the first of the month following the expiration of the 10-day advance notice.