Table F-a: Medicaid for Employed Older Adults with Disabilities (MOAD) SR 22-14 Dated 03/22 (MAM-A)

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Note: The Medicaid for Employed Older Adults with Disabilities (MOAD) policy on this page is different from Medicaid for Employed Adults with Disabilities (MEAD) policy.

All MOAD-eligible individuals are considered categorically needy.

Because MEAD and MOAD have different federal legislation, they have different net income limits; the methodology involving the individualized MOAD disregard allows for an effective net income limit of 450% of the Federal Poverty Guidelines (FPG) for MOAD, in order to match MEAD’s 450% net income limit.

As an initial step, the “first” net income must be equal to or less than 450% FPG: 

As a potential second step, some individuals on MOAD (anyone whose “first” net income is 250% FPG through and including 450% FPG) will receive an individualized MOAD income disregard; after use of the individualized MOAD disregard, “final” net income must be less than 250% FPG:

In sum:

Below 250% FPG

Individuals whose “first” net income is below 250% FPG will not have the individualized MOAD disregard applied, because they do not need it.

250% FPG through and including 450% FPG

Individuals whose “first” net income is 250% FPG through and including 450% FPG will have an individualized MOAD disregard applied that reduces their “final” net income to below 250%.

Over 450%

Individuals whose “first” net income is over 450% FPG are over income and consequently ineligible for MOAD.

References: 42 USC 1396a(a)(10)(A)(ii)(XIII); 42 USC 9902(2)