Okla. Admin. Code § 317:35-7-41
Eligibility as Qualified Disabled and Working Individual
Effective Jun 25, 200724 Ok Reg 2116Added at 12 Ok Reg 753, eff 1-6-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3133, eff 7-27-95; Amended at 16 Ok Reg 708, eff 1-1-99 (emergency); Amended at 16 Ok Reg 1438, eff 5-27-99; Amended at 20 Ok Reg 2775, eff 7-1-03 (emergency); Amended at 21 Ok Reg 2234, eff 6-25-04; Amended at 24 Ok Reg 2116, eff 6-25-07Oklahoma Health Care Authority
(a) An individual determined to be categorically related to Aid to the Blind or Disabled is eligible for Medicaid as a Qualified Disabled and Working Individual (QDWI) if the following eligibility conditions are met.
- (1) Social Security disability benefits were terminated solely due to excess earnings.
- (2) Countable income and resources do not exceed the standards as shown on DHS Appendix C-1, Schedule V, in which the income standards are based on 200% of the Federal Poverty Level.
- (3) Medicaid eligibility cannot be established under QMB or categorically needy programs.
- (4) Individual is enrolled in Medicare Part A.
- (b) Individuals applying for QDWI must also meet the general eligibility requirements for social security number, residence, citizenship, and assignment of rights. Refer to OAC 317:35-5-25 regarding citizenship/alien status and identity verification requirements.
- (c) Countable income and resources are determined using the same rules followed in determining eligibility for individuals categorically related to Aid to the Aged, Blind or Disabled, with the following exception: The $20 general income disregard is applied to either earned or unearned income, but not both.
- (d) Coverage for a Qualified Disabled and Working Individual is restricted to payment of the Medicare Part A premiums. Medical cards are not issued.
Added at 12 Ok Reg 753, eff 1-6-95 through 7-14-95 (emergency)
Added at 12 Ok Reg 3133, eff 7-27-95
Amended at 16 Ok Reg 708, eff 1-1-99 (emergency)
Amended at 16 Ok Reg 1438, eff 5-27-99
Amended at 20 Ok Reg 2775, eff 7-1-03 (emergency)
Amended at 21 Ok Reg 2234, eff 6-25-04
Amended at 24 Ok Reg 2116, eff 6-25-07