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Qualified Disabled and Working Persons (QDWPs) - Medical Assistance - Iowa

Limited Medicaid benefits are available to persons under age 65 who had received social security disability (SSDI) benefits as disabled persons but whose benefits were discontinued because of excess income from earnings. They may continue to be disabled but no longer meet Social Security’s definition of disability because of "substantial gainful activity" (SGA).

Medicaid pays the Medicare Part A premium if:

·        You are under age 65.

·        You were previously entitled to extended Medicare benefits without a charge after SSDI cash benefits ended due to your engaging in SGA.

·        You continue to have the same disabling condition that was the basis for receipt of SSDI, or to be a disabled qualified railroad retirement beneficiary, or to be blind.

·        You were previously entitled to extended Medicare benefits without a charge after your social security disability benefits ended due to substantial gainful activity.

·        You are not entitled to any other Medicare benefits.

·        You are eligible for and enrolled in Part A Medicare.

·        Your resources do not exceed twice the maximum allowed by the Supplemental Security Income (SSI) Program, $4,000 for an individual and $6,000 for a couple.

·        Your net countable income does not exceed 200% of the poverty level for your family size. (See Poverty Guidelines.) To determine net countable monthly income, follow SSI policies. Allow the earned and unearned income deductions.

Click on Desk Aid and see the QDWP Resource and Income limits.

NOTE: You must have a web browser (such as Internet Explorer or Netscape) installed in order to view the Desk Aid.

NOTE: These income limits and resource numbers are accurate in 2005. After that, if you are connected to the Internet, you can click here to see the Desk Aid on-line.

You must have Adobe Acrobat Reader installed in order to view the on-line version. If you do not have the Reader installed, you can download it free from: www.adobe.com/products/acrobat/readstep.html

See Also:

·           SSI and SSI-Related Coverage Groups in Iowa.

·           Overview of Medical Assistance in Iowa

·           Welcome and Introduction to Benefits in Iowa

Source: Iowa Dept of Human Services Employees’ Manual

Title 8 Medicaid

·                        Chapter F, Coverage Groups

Legal reference: P.L. 100-239, 441 IAC 75.1(33)

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