Rule 37.83.401 - QUALIFIED DISABLED WORKING INDIVIDUALS, APPLICATION AND ELIGIBILITY FOR MEDICAID(1) A qualified disabled working individual (QDWI) is an individual: (a) who is entitled to enroll in hospital insurance benefits (medicare Part A) under 42 USC 1395i-2a because he lost premium-free Part A medicare coverage due solely to excess earned income from substantial gainful activity;(b) meets the non-financial criteria in (2) of this rule;(c) whose income does not exceed 200% of the official federal poverty guideline as defined by the executive office of management and budget; and(d) whose resources do not exceed twice the supplemental security income (SSI) resource limit set forth at 42 USC 1382 (a) (3) (A) and (B) (1990 edition).(2) The non-financial criteria for determining eligibility of a qualified disabled working individual are that the person: (a) has not attained the age of 65;(b) is blind or disabled as defined in 42 USC 416 (i) (1) (1990 edition).(c) has a social security number;(d) meets the citizenship or alienage requirements of ARM 37.82.401; and(e) meets the residency requirements of ARM 37.82.402.(3) A person in applying for and receiving medicaid as a qualified disabled working individual is subject to the following provisions: (a) ARM 37.85.407 concerning third party liability;(b) ARM 37.82.201 concerning application requirements;(c) ARM 37.82.204 concerning determinations of eligibility;(d) ARM 37.82.205 concerning redetermination ;(e) ARM 37.82.407 concerning limitation on the financial responsibility of relatives;(f) ARM 37.82.415 concerning application for other benefits; and(g) ARM 37.82.416 concerning assignment of rights to benefits.(4) Countable income and resources will be determined using SSI criteria incorporated by reference in ARM 37.82.903(2).(5) A person receiving medicaid as a qualified disabled working individual must report within 10 days any changes in circumstances that may affect eligibility.Mont. Admin. r. 37.83.401
NEW, 1991 MAR p. 1052, Eff. 7/1/91; TRANS, from SRS, 2000 MAR p. 197.Sec. 53-6-113, MCA; IMP, Sec. 53-6-101 and 53-6-131, MCA;