Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 477 - MEDICAID ELIGIBILITY
Chapter 24 - RELATIVE RESPONSIBILITY AND SPONSOR DEEMING FOR ALIENS FOR NON-MAGI PROGRAMS
Section 477-24-003 - MEDICAID INSURANCE FOR WORKERS WITH DISABILITIES (MIWD)
Current through September 17, 2024
003.01 Medicaid Insurance for Workers with Disabilities
Working individuals who meet the necessary disability criteria, have income within income guidelines, and are working, are eligible for Medicaid. After application of income disregards, individuals with income less than 200 percent of the Federal Poverty Level (FPL) are eligible for Medicaid with no premium; individuals with income of 200 through 249 percent of the FPL are eligible for Medicaid with a monthly premium payment. See Appendix 477-000-046 for procedures.
003.02 Eligibility Requirements
In order to receive Medicaid, the individual(s) must:
003.03 Disability Determination
Individuals who are not receiving a Social Security Disability payment must be determined disabled by the State Review Team. Receipt of an SSDI payment meets the disability requirement.
003.04 Income Determination
The income calculation is a two-step process. The income of the disabled individual and his/her spouse must be considered. See Appendix 477-000-009 for calculation procedures.
003.05 Premium Payment
If the individual is determined eligible for Medicaid with a premium, s/he must pay the full premium no later than the 21st day of the month following the month for which the payment is designated.
