Mont. Admin. r. 6.6.1908

Current through Register Vol. 1, January 10, 2025
Rule 6.6.1908 - ELIGIBILITY REQUIREMENTS FOR THE MACP HIGH RISK POOL PLAN
(1) "Federally defined PPACA high risk pool individual" or "MACP eligible," means an individual who:
(a) is a citizen, or national, of the United States, or is lawfully present in the United States in accordance with the applicable provisions of PPACA;
(b) has not been covered under creditable coverage as defined in 33-22-140, MCA (2009), during the six month period prior to the date on which such individual is applying for coverage under the MACP;
(c) is a Montana resident; and
(d) has a preexisting condition.
(2) A preexisting condition that triggers eligibility for the MACP pool is defined as:
(a) complying with 33-22-1501(7)(a)(iii)(A) and (B), MCA; or
(b) a medical condition identified as a "presumptive condition" by the MCHA; or
(c) as otherwise defined by the U.S. Secretary of Health and Human Services.

Mont. Admin. r. 6.6.1908

NEW, 2010 MAR p. 1494, Eff. 6/25/10.

33-22-1502, MCA; IMP, 33-22-1502, 33-22-1503, MCA;