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DMA ADMINISTRATIVE LETTER NO: 08-13, ADDENDUM 1, HEALTH COVERAGE FOR WORKERS WITH DISABILITIES

DATE: 1/27/14

SUBJECT: Health Coverage for Workers with Disabilities Phase III

DISTRIBUTION: County Departments of Social Services

II. Policy principles

Federal Poverty Level

Income Range – HCWD Individual

Income Range – HCWD Couple

Monthly Premium

101-150%

$958.01 - $1,437

$1,293.01 - $1,939

0

151-200%

$1,437.01 - $1,915

$1,939.01 - $2,585

0

201-250%

$1,915.01 - $2,394

$2,585.01 - $3,232

$139

251-300%

$2,394.01 - $2,873

$3,232.01 - $3,878

$175

301-350%

$2,873.01 - $3,352

$3,878.01 - $4,524

$211

351-400%

$3,352.01 - $3,830

$4,524.01 - $5,170

$247

401-450%

$3,830.01 - $4,309

$5,170.01 - $5,817

$283

451 and above

$4,309.01 and up

$5,817.01 and up

$472

III. EIS requirements

IV. Effective Date and Implementation

If you have any questions regarding this information, please contact a Medicaid Program Representative.

(This material was researched and written by Wanda McLeoud, EIS Consultant and William Appel, Project Director, Recipient and Provider Services).

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  For questions or clarification on any of the policy contained in these manuals, please contact your local county office.


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