La. Admin. Code tit. 50 § III-2309

Current through Register Vol. 50, No. 11, November 20, 2024

Section III-2309 - Medicaid Purchase Plan [Formerly LAC 50:III.763-765]

A. Effective January 1, 2004, the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing implemented the Medicaid Purchase Plan Program for workers with disabilities under title XIX of the Social Security Act. The Medicaid Purchase Plan allows persons who meet the Social Security disability criteria to seek the employment services, vocational rehabilitation services, and other support services needed to obtain, regain or maintain employment, and reduce their independence on cash benefit programs.

B. Recipient Eligibility. Effective January 1, 2014, the Medicaid purchase plan shall cover workers with disabilities who meet the following criteria:

1. are employed;

2. are age 16 through age 64;

3. meet the Social Security Administration criteria for disability;

4. have net income less than 100 percent of the federal poverty level;

5. have countable resources (assets) less than $10,000;

a. all life insurance policies, medical savings accounts, and retirement accounts shall be counted towards the resource limit; and

6. are enrolled in no-cost health insurance.

C. Spousal income and resources shall be counted towards the income and resource limits.

D. Effective January 1, 2014, buy-in premiums shall be eliminated from the Medicaid Purchase Plan Program.

La. Admin. Code tit. 50, § III-2309

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 39:3299 (December 2013).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.