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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
An individual who is blind or disabled is non-financially eligible. (1.1.1.2). Disability and blindness determinations are made by the Disability Determination Bureau ( DDB ) in the Department of Health and Family Services. The IM Agency should submit an application for a disability determination even if the client has already applied for SSI or SSDI. (See 3.6.2 for the disability determination process).
The law defines disability for Medicaid ( MA ) as: ‘The inability to engage in any substantial gainful activity ( SGA ) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.’ Substantial gainful activity is currently defined as gross income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. of $900 or more per month. See 3.6.9 for the Medicaid Purchase Plan ( MAPP The Medicaid Purchase Plan (MAPP) offers people with disabilities who are working or interested in working the opportunity to obtain health care coverage through the Wisconsin Medicaid Program. ) disability definition.
This page last updated in Release Number: 07-03
Release Date: 04/18/07
Effective Date: 04/18/07
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