Section 16.03.05.813 - QUALIFIED DISABLED AND WORKING INDIVIDUAL (QDWI)A person meeting all requirements in Subsections 812.01 through 812.05 of these rules is eligible for QDWI. The person must not be eligible for any other type of Medicaid. A QDWI is eligible only for Medicaid payment of his Medicare Part A premium. (3-17-22)
01.Age and Disability. The participant must be a disabled worker under age sixty-five (65). (3-17-22)02.Nonfinancial Requirements. The participant must meet the Medicaid eligibility requirements of residence, citizenship, support cooperation and SSN. (3-17-22)03.Section 1818A Medicare. SSA determined the participant meets the conditions of Section 1818A of the Social Security Act. (3-17-22)04.Income. Monthly income must not exceed two hundred percent (200%) of the one (1) person official poverty line defined by the OMB. (3-17-22)05.Resource Limit. The resource limit is equal to the amount defined under 42 USC 1396d(s). The resource exclusions used for AABD are used for QDWI. (3-17-22)Idaho Admin. Code r. 16.03.05.813