048-18 Wyo. Code R. §§ 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.

(b) Eligibility Requirements.

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

(ii) Resource tests do not apply for this eligibility group.

(iii) Individuals shall be age sixteen (16) through sixty-four (64).

(iv) 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.

(v) The individual shall pay a monthly premium, as calculated according to W.S. §§ 42-4-115 and 42-4-116.

(vi) If an individual otherwise meets the criteria for the Comprehensive, Support or Acquired Brain Injury Waiver, but does not meet the income or resource requirements, the individual may retain waiver services through the Employed Individuals with Disabilities program.

(c) Individuals shall be responsible for reporting to the Department any changes in the following:

(i) Income;

(ii) Household size;

(iii) Health insurance;

(iv) Address; and

(v) Employment.

Notes

048-18 Wyo. Code R. §§ 18-10

Amended, Eff. 4/11/2018. Amended, Eff. 6/16/2021.