State of Wisconsin Department of Health Services

Release 24-02 August 22, 2024

View History

32.5 QDWI

32.5.1 Introduction

A QDWIQualified Disabled and Working Individual is a person who:

• Is under age 65 and has lost premium-free Medicare Part A as a result of returning to work.
• Is not otherwise eligible for Medicaid, including but not limited to EBD Medicaid programs, Community Waivers, and BadgerCare Plus. (Consider a person with an unmet deductible ineligible for Medicaid until he or she meets the deductible.)
• Continues to be disabled.
• Meets the QDWI income limit (see Section 32.5.2 Income Limit) and asset limit (see Section 32.6 Medicare Savings Programs Asset Limits).

32.5.2 Income Limit

The QDWI income limit is 200% of the FPLFederal Poverty Level (see Section 39.5 FPL Table).

Calculate QDWI net income in the same way as QMBQualified Medicare Beneficiary net income. The annual COLAcost-of-living adjustment. An increase in income to compensate for inflation. increase is temporarily disregarded until the new income limits take effect (See Section 32.2.3 Income Limit).

---

The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030