MEDICAID FOR THE EMPLOYED DISABLED

PROGRAM ADMINISTRATION:

Federal and state funded program administered by the Connecticut State Dept. of Social Services, http://www.ct.gov/dss/cwp/view.asp?a=2353&q=305220.

PROGRAM DESCRIPTION

Connecticut consumers who meet Social Security’s definition of disability and are employed and paying FICA taxes (or have wage stubs proving earnings if not paying FICA taxes), may be eligible for Medicaid even though their income and assets are higher than the usual income and asset restrictions for Medicaid.

WHO IS ELIGIBLE?

• Individual must meet Social Security's definition of disabled and be employed.
• Individual may have income up to $75,000 annually. Earned income (employment) and unearned income (Social Security, pensions, etc.) are considered.
• A spouse’s income is not considered in the determination of initial eligibility.
• Impairment related work expenses that would not be covered by Title XIX can be used to bring income down to below $75,000.
• Liquid assets for single individual must be below $10,000; for couples below $15,000. Homes are not countable assets; cars used for getting to work or medical appointments are not countable assets.
• Money held in retirement accounts, individual development accounts, medical accounts, and accounts for disability-related expenses are not counted as assets.

PERSONAL CARE ASSISTANCE WAIVER ELIGIBILITY

In addition to all regular Medicaid covered health care services, people eligible for this program who are in need of personal care assistance will also be eligible for PCA (Personal Care Assistance) Waiver Program.

PREMIUM AMOUNTS

Individuals found eligible under this coverage group may be charged a premium. Premium amounts will vary according to income, but will never be more than 10% of income over 200% of the Federal Poverty Level. A spouse’s income is considered when determining the premium amount.

WHERE TO APPLY

Apply at regional DSS offices.

TO FIND PROVIDERS IN CONNECTICUT'S COMMUNITY RESOURCES DATABASE:
Search by Program Name: Medicaid for the Employed Disabled.

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SOURCE: CT Dept. of Social Services
IPREPARED BY: 211/rj
CONTENT LAST REVIEWED: April2007