Manual: Family and Children’s Medicaid
Change No: 05-09
To: County Directors of Social Services
Make the following change(s)
The initial phase of Health Coverage for Workers with Disabilities (HCWD), which was implemented in November of 2008, covered disabled workers with incomes at or below 150% of the federal poverty level. The second phase, which will provide coverage for workers with incomes from 151% through 200% of the federal poverty level (FPL), is effective 5/1/2009. The second phase applies to both the basic and the medically improved group. Eligibility for those in the second phase of implementation will require payment of an enrollment fee of $25 per certification period. All other HCWD eligibility criteria are also applicable to those at the higher income level.
This policy is effective May 1, 2009. Apply this policy to applications taken on or after May 1, 2009 and to redeterminations started on or after May 1, 2009. Retroactive eligibility for the second phase of HCWD cannot begin earlier than May 1, 2009.
Remove: MA-3215, Eligibility of Individuals Under Age 21, pages 3-4 and 9-12.
Insert: MA-3215, Eligibility of Individuals Under Age 21, pages 3-4 and 9-12.
Remove: MA-3230, Eligibility of Individuals Under Age 21, pages 1-2.
Insert: MA-3230, Eligibility of Individuals Under Age 21, pages 1-2.
For information regarding Medicaid, please contact your Medicaid Program Representative. For any Medicaid issues that are not able to be handled through that venue, Angela Floyd, Assistant Director for Recipient and Provider Services, will be your point of contact and can be reached at (919) 855-4000.
Tara R. Larson, Acting Director
(This material was researched and written by William Appel, Policy Consultant, Medicaid Eligibility Unit)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.