To be eligible to receive this coverage, an individual must:
A. Be under age 65.
B. Have countable monthly income under 200% of the Federal Poverty Level (FPL).
Refer to MA-2260, Financial Eligibility Requirements/PLA, for current income levels.
C. Continue to have the disabling physical or mental impairment that he had when he was determined disabled or blind by the Social Security Administration (SSA).
D. Have lost entitlement to premium free Medicare Part A solely due to earnings in excess of the Substantial Gainful Activity threshold as determined by SSA.
E. Not be otherwise entitled to premium free Medicare Part A.
F. Furnish his Medicare claim number.
G. Not be otherwise eligible for Medicaid.
