Idaho Administrative Code
Title IDAPA 16 - Health and Welfare, Department of
Rule 16.03.05 - ELIGIBILITY FOR AID TO THE AGED, BLIND, AND DISABLED
Section 16.03.05.799 - MEDICAID FOR WORKERS WITH DISABILITIES
Current through September 2, 2024
An individual is eligible to participate in the Medicaid for Workers with Disabilities coverage group if the individual meets the requirements below.
01. Non-Financial Requirements. An individual must:
02. Disability. An individual must meet the medical definition for having a disability or blindness used by the SSA for Social Security Disability Insurance (SSDI) and SSI benefits.
03. Employment. An individual must be employed which may include self-employment. Proof of employment must be provided to the Department. Hourly wage or hours worked will not be used to determine employment.
04. Countable Resources. Cannot exceed ten thousand dollars ($10,000) for an individual or fifteen thousand dollars ($15,000) for a couple. When calculating resources, the following items will be excluded:
05. Countable Income. Is calculated using exclusions and disregards as described in Sections 300 through 547 of these rules. The countable income for:
06. Earned Income Test. Gross income is the total of earned and unearned income before exclusions or disregards. Each individual's gross earned income must be at least fifteen percent (15%) of their total gross income to qualify.
07. Cost-Sharing. A participant in the Medicaid for Workers with Disabilities coverage group may be required to cost-share; the costs are determined under the provisions in IDAPA 16.03.18, "Medicaid Cost-Sharing."
Effective July 1, 2024