Family and Children's Medicaid MA-3230 ELIGIBILITY OF INDIVIDUALS UNDER Age 21

II. POLICY RULES – INDIVIDUALS AGE 16 THROUGH 20, HCWD

A. Health Coverage for Workers with Disabilities (HCWD) covers blind or disabled workers age 16 through 64 with incomes equal to or less than 150% of the federal poverty level (FPL).

The resource limit is the minimum community spouse resource allowance (See MA-2231, Community Spouse Resource Protection). HCWD recipients are entitled to full Medicaid coverage under MAB or MAD. Recipients age 16 through 20 are also entitled to additional services provided under EPSDT (See MA-3540, Medicaid Covered Services, XXXVIII.). HCWD recipients can not be receiving under any CAP program. HCWD consists of two groups, the Basic Coverage Group and the Medically Improved Coverage Group.

B. Eligibility Requirements

To be eligible to receive HCWD, an individual must:

1. Be at least 16 years of age, but less than 65 years of age;

2. Meet the Social Security Administration definition of disability except for earnings or be eligible under the Medically Improved Group;

3. Be employed;

4. Have countable resources equal to or less than the minimum community spouse resource allowance (See MA-2231, Community Spouse Resource Protection II.B), whether budgeted as an HCWD individual or HCWD couple;

5. Meet the income requirements for his coverage group;

REVISED 07/01/10 – CHANGE NO. 08-10

(II.B.)

6. Meet all the other eligibility requirements applicable to Adult Medicaid coverage groups. (See MA-2000, Non-SSI Eligibility Regulations).

See MA-2180, Health Coverage for Workers with Disabilities in the Aged, Blind and Disabled Medicaid Manual.