Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 477 - MEDICAID ELIGIBILITY
Chapter 27 - ELIGIBILITY FOR THE AGED, BLIND, AND DISABLED; MEDICALLY NEEDY; QUALIFIED DISABLED WORKING INDIVIDUALS; MEDICAID INSURANCE FOR THE WORKERS WITH DISABILITIES; BREAST AND CERVICAL CANCER; EMERGENCY MEDICAL SERVICES ASSISTANCE; AND KATIE BECKETT
Section 477-27-003 - QUALIFIED DISABLED AND WORKING INDIVIDUALS
Current through September 17, 2024
Individuals who were receiving Retirement, Survivors, Disability Insurance (RSDI) disability benefits and return to work, but remain disabled, may continue to be entitled to Medicare Part A at no cost for 48 months. The Omnibus Budget Reconciliation Act of 1989 allows these individuals, at the end of 48 months, to enroll in Medicare Part A and pay a premium. The act also requires state Medicaid programs to purchase Medicare Part A premiums for these individuals. To be eligible for this program, an individual must meet all of the following requirements.
003.01 AGE. To be eligible for the payment of the Medicare premium, an individual must be 64 years old or younger.
003.02 DISABILITY. To be eligible for the payment of the Medicare premium, an individual must continue to have a disabling impairment as determined by the Social Security Administration (SSA). The Social Security Administration (SSA) has the responsibility to verify periodically that the disability continues. If the Social Security Administration (SSA) determines through a continuing disability review that the individual is no longer disabled, the Department is notified and eligibility ceases. If the individual voluntarily withdraws from Medicare Part A premium coverage, then eligibility ceases.
003.03 INCOME. To be eligible for the Qualified Disabled and Working Individuals benefit, the unit must have income above 100%, but at or below 200% of the Federal Poverty Level (FPL). In determining countable income, the amount of medical insurance premiums is not allowed.
003.04 RESOURCES. The resource limit for the program is four thousand ($4,000) for an individual or six thousand ($6,000) for a couple.
003.05 NOT OTHERWISE ELIGIBLE. An individual eligible as a Qualified Disabled and Working Individual cannot be eligible for any other Medicaid program.
