048-18 Wyo. Code R. § 18-10

Current through April 27, 2019
Section 18-10 - Employed Individuals with Disabilities Eligibility Group

(a) Medicaid benefits are available to individuals with disabilities who work and pay a monthly premium for their healthcare coverage as specified in Section 1902(a)(10)(A)(ii)(XV) of the Social Security Act and 42 U.S.C. § 1396a(a)(10).

(b) Treatment of Income. Countable unearned income shall be less than or equal to three hundred percent (300%) of the Supplemental Security Income (SSI) payment standard.

(c) Treatment of Resources. Resource tests do not apply for this eligibility group.

(d) Age Requirement. Individuals shall be age sixteen (16) through sixty-four (64).

(e) Employed. An individual shall be employed part-time or full-time during a specified payroll period. The individual can be considered employed when not working, but on temporary absence due to medical leave.

(f) Premium. The individual shall pay a monthly premium, as calculated according to Wyoming Statutes §§ 42-4-115 and 42-4-116.

(g) Reporting Changes. Clients shall be responsible for reporting to the Department any changes in the following:

  • (i) Income;
  • (ii) Household size;
  • (iii) Health insurance; and
  • (iv) Address.

048-18 Wyo. Code R. § 18-10

Amended, Eff. 4/11/2018.