215 QUALIFIED DISABLED AND WORKING INDIVIDUAL (QDWI) (MAM)

SR 13-35 Dated 10/13

Previous Policy

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The Qualified Disabled and Working Individual (QDWI) Program provides limited medical assistance coverage that pays the Medicare Part A (hospital insurance) premium of disabled working individuals who have lost Medicare due to earnings.

To be eligible for assistance under QDWI, applicants:

. must be entitled to enroll in Medicare Part A;

. must be disabled and working and have lost Medicare coverage due to earnings;

. cannot be eligible for benefits from any other medical assistance program;

. cannot have income that exceeds 200% of the current federal poverty level;

. cannot have resources that are more than twice the SSI limit; and

. must meet all general non-financial requirements of eligibility for medical assistance.

References: 42 CFR 406, Section 1905(s) of the Social Security Act, 42 USC 1396d(s), 42 USC 9902(2)