Rule 37.84.103 - HELP ACT: ELIGIBILITY FOR COVERAGE(1) An individual qualifies for Medicaid coverage under the HELP Program if the person is a Montana resident who meets the eligibility criteria for Medicaid expansion coverage as authorized at 42 U.S.C. 1396 a(a)(10)(A)(i)(VIII) (2015).(2) HELP Program coverage, as specified in (1), is inclusive of a person who is 19 through 64 years of age, has a modified adjusted gross income at or below 138% of FPL as appropriate to the household size, and is not: (a) pregnant at the time of enrollment; (b) entitled to or enrolled in Medicare;(c) disabled as determined for purposes of social security; or(d) in one of the other categories for Medicaid coverage that are excluded from Medicaid expansion coverage by the language of the applicable federal authority .Mont. Admin. r. 37.84.103
NEW, 2015 MAR p. 2294, Eff. 1/1/2016.AUTH: 53-2-215, 53-6-113, 53-6-1305, 53-6-1318, MCA; IMP: 53-2-215, 53-6-101, 53-6-131, 53-6-1304, MCA