No. CS/SB 1016
Filed under Healthcare.
Medical Assistance Eligibility for Working Persons with Disabilities; Creating the Working People with Disabilities program within the Agency for Health Care Administration; specifying income and asset requirements for eligibility in the program; requiring the Department of Children and Families to provide a written notice of specified information to eligible adults upon their initial enrollment in certain Medicaid waiver programs, and at least annually thereafter; requiring the agency to identify certain Medicaid recipients and share such information with the department for a specified purpose, etc.
Plain English Summary
AI-GENERATEDA new "Working People with Disabilities" program lets adults with a developmental disability who are already enrolled in a Medicaid home and community-based waiver keep that coverage while working, instead of losing it once they earn income.
To qualify, income must stay under 550 percent of the federal SSI benefit rate, and the program disregards up to $13,000 in assets for an individual, $24,000 for a couple, plus any IRS-recognized retirement account.
The Department of Children and Families must send eligible adults a plain-language notice explaining the program, special needs trusts, and a contact office, both at initial enrollment and at least once a year afterward.
The state health agency must identify Medicaid recipients who already qualify and share that information with the department, which then has 90 days after the law takes effect to notify everyone currently eligible.
AIThe Working People with Disabilities program is established to let certain working individuals with disabilities keep eligibility for Medicaid home and community-based services waivers while earning income.
AIAn enrollee's maximum monthly income may not exceed 550 percent of the federal Supplemental Security Income benefit rate in order to keep Medicaid eligibility under the program.
AIThe state must disregard up to $13,000 in assets for an enrollee alone, and up to $24,000 for an enrollee and spouse together, when determining Medicaid eligibility under the program.
AITo join the program, a person must already be enrolled in one of several named Medicaid home and community-based services waiver programs, in addition to being 18 or older, employed, and having a developmental disability.
AIThe department must send eligible adults a written notice at initial enrollment in a qualifying waiver program and at least once a year after that, explaining the program and how to opt in.
AIThe agency must identify Medicaid recipients who are enrolled in both a Supplemental Security Income program and a qualifying waiver, and share that information with the department to carry out the notice requirement.
AIThe department must send the required notice to enrollees who are already eligible today within 90 days after this act takes effect, not just to future new enrollees.