Table 1

Medicaid Buy-In Program Income Eligibility Criteria

Whose Income is Counted?

What is the Countable Income Eligibility Limit?

What Disregards apply in determining Countable Income?

Is there a Separate Unearned Income Limit?

Alaska 

Individual and spouse for total income;

Individual for unearned income

Two part test:

1. Family net income less than 250% FPL

2. Individual unearned income less than Alaska Public Assistance (APA) standard of need.

Standard SSI disregards

Yes.  Unearned income must be less than APA standard of need.

Arizona 

Individual

250% FPL

Disregard unearned income and

Standard SSI disregards

Including  disregarding IRWEs

No

Arkansas 

Individual

250%  FPL

Standard SSI disregards

Yes. Unearned income must be less than SSI standard plus $20

California 

Individual and spouse

250% FPL

Standard SSI disregards

No

Connecticut 

Individual

450% FPL

$6,250/mo (gross) or $3,082/mo (net) after SSI disregards

Standard SSI disregards

No

Idaho 

Individual

500% of FPL

Standard disregards under state Aid to the Aged, Blind & Disabled

No

Illinois 

Individual and spouse

200% of FPL

Net after taxes

Standard SSI disregards and work related expenses

No

Indiana 

Individual

350% of FPL

Standard Medicaid income disregards in Indiana including IRWE

No

Iowa 

Individual and spouse

250% FPL for family size

Standard SSI disregards

No

Kansas 

Individual and spouse

300 % FPL

Standard SSI disregards plus IRWEs

No

Louisiana 

Individual

250% FPL

Standard SSI disregards

No

Maine 

Individual and spouse

Two part test:

1. Countable unearned income less than 100% FPL

2. Earned and unearned combined less than 250% FPL.

Standard SSI disregards, plus additional state disregard on unearned or earned income of $55.

Yes. Unearned income limit is 100% FPL plus $75.

Maryland 

Individual and spouse

300% FPL

Standard SSI disregards

No

Whose Income is Counted?

What is the Countable Income Eligibility Limit?

What Disregards apply in determining Countable Income?

Is there a Separate Unearned Income Limit?

Massachusetts 

Sec. 1115 Medicaid Waiver

No income eligibility maximum.

Michigan 

Individual

No income limit

Standard SSI disregards

Yes. Unearned income limit is 100% of FPL

Minnesota 

Individual

No income limit.

1902(r)(2) All earned and unearned income ignored

No

Mississippi 

Missouri 

Program ended August 28, 2005

Individual and spouse’s income if over $100,000

250% FPL gross income

None

No

Nebraska 

Individual and spouse

Two part test:

1. 250% FPL for family size using standard SSI disregards

2. Sum of all unearned and spouse’s earned income less than SSI benefit level for family size

Standard SSI disregards

Individual’s earned income disregarded in part 2 of eligibility test. 

Individual’s unearned income if from Trial Work Period.

Yes.  Unless an individual is in a Trial Work Period or Extended Period of Eligibility, SSDI income (minus disregards must be less than SSI income standard.

Nevada 

Individual

250 % FPL Net income

Taxes

Some income disregards (not all SSI)

Yes

$699 per month

New Hampshire 

Individual and spouse

450%  FPL Net income

Standard SSI disregards

No

New Jersey 

Individual and spouse

250% of FPL

Standard SSI disregards

Yes. Unearned income other than SSDI or SSI has limit is 100% of FPL

New Mexico 

Individual

250% FPL

Standard SSI disregards and IRWEs and Work related expenses including cost of  heatlh insurance

Yes

Unearned income less than $1,090 a month

New York 

Individual  and spouse

250% FPL Net income

Standard SSI disregards

No

North Dakota 

Family

225% of FPL

Standard SSI disregards

No

Oregon 

Individual

250% FPL for individual

All unearned income, standard SSI disregards, and Employment and Independence Expenses.

No

Whose Income is Counted?

What is the Countable Income Eligibility Limit?

What Disregards apply in determining Countable Income?

Is there a Separate Unearned Income Limit?

Pennsylvania 

Individual

250%  FPL net income of individual

Standard SSI disregards

No

Rhode Island 

Individual

250% of FPL

Standard SSI disregards including IRWEs

Yes Unearned income no more than 100% of FPL

Or would meet the eligibility requirements under the states Medically Needy program.

South Carolina 

Individual

250%  FPL

Standard SSI disregard

Yes

Unearned income no more than  Federal SSI standard

Texas 

Individual

250% FPL

Standard SSI disregards

No

Utah 

Individual and spouse

250%  FPL  net income

Standard SSI disregards

No

Vermont 

Individual and spouse

Pre July 1, 2005

Two part  test:

1. Family net income less than 250% FPL

2. Family net income less earnings and $500 of SSDI at or below medically needy protected income level

Effective July 1, 2005

SSDI and Veterans benefits no longer counted toward unearned income limit

Standard SSI disregards.  Disregard all earnings and $500 of SSDI for part 2 of eligibility test.

Effective July 1, 2005

SSDI and Veterans benefits no longer counted toward unearned income limit

Yes. Unearned income limit is the Medically Needy program's Protected Income Level plus $500.

No Effective July 1, 2005

SSDI and Veterans benefits no longer counted toward unearned income limit

Virginia 

Individual and spouse

250 % FPL Net income

Standard SSI Disregards, including IRWEs

Yes, Unearned income limit is 80% of Federal Poverty  Level

Washington 

Individual and spouse

But only individual income if spouse’s income is equal to or less than ½ of the SSI standard.

450% of Federal Poverty level based on gross income for single individual or 450%  of Federal Poverty Level  for couple if married and spouse had income greater than ½ of  Federal SSI standard.

Standard SSI disregards and IRWE’s

No

West Virginia

Individual

250% of FPL

Standard SSI disregards and including IRWEs

Yes.

The individual’s unearned income, that does not exceed the SSI Federal benefit standard plus the general income exclusion ($20)

Wisconsin

Individual and spouse

250% net family

Standard SSI disregards

No

Wyoming

Individual

100% FPL

No disregards

Yes.

Unearned income not in excess of $600 per year

Table 2. Medicaid Buy-In Program: Resources Limits and Exclusions  

What is the Resource Limit?

Are Retirement Accounts Excluded from Countable Assets?

Are Medical Savings Accounts Excluded from Countable Assets?

Are Approved Accounts for Employment or Independence Excluded?

Alaska

$2,000 Individual

$3,000 Couple

Draft regulations proposed by Medicaid agency  for resources limit of : $10,000 individual &

$15,000 couple in mid 2006

No

No

No

Arizona

No resources limit

Yes

Yes

Yes

Arkansas

$4000 Individual

$6000 Couple

No

No

Yes. Up to $10,000 in an Approved Account with interest on account not counted toward limit.

California

$2000 Individual

$3000 Couple

Yes

No

No

Connecticut

$10,000 Individual

$15,000 Couple

Yes

Yes

Yes

Illinois

$15,000

No

No

No

Idaho 

$10,000

Yes

No

No

Indiana

$2000 Individual

$3000 Couple

Yes

No

Yes. Up to $20,000as approved by state

Iowa

$12,000 Individual

$13,000 Couple

Yes

Yes

Yes, Assistive Technology Accounts.

Louisiana

$25,000 Individual

Yes

Yes

No

Kansas 

$15,000

Yes

No

IDA accounts excluded

Maine

$8,000 Individual

$12,000 Couple

No

No

No

Maryland 

$10,000 (includes spouse)

Yes, first $4,000 does not count toward resource limit

No

No

Massachusetts 

(Part of Section 1115 waiver program)

What is the Resource Limit?

Are Retirement Accounts Excluded from Countable Assets?

Are Medical Savings Accounts Excluded from Countable Assets?

Are Approved Accounts for Employment or Independence Excluded?

Michigan 

$75,000

Yes

No

No

Minnesota 

$20,000 (Only count individual assets)

Yes

Yes

No

Mississippi – No information

Missouri 

Program ended August 28, 05

$999.99

Yes

Yes

Yes, Independent Living Accounts from earnings while in Buy-In

Nebraska 

$4,000 Individual

$6,000 Couple

No

No

No

Nevada 

$15,000

New Hampshire 

$20,889 Individual

$31,334 couple

No

No

Yes

New Jersey

$20,000 individual

$30,000 couple

Yes

No

No

New Mexico

$10,000 individual

$15,000 couple

Yes

No

No

New York

$10,000

No

No

No

North Dakota

$2,000 individual

$3,000 couple

No

No

Yes. Up to $10,000 from earnings in approved Plan for Achieving Self Support

Oregon

Individual

$5000 effective July 1, 2003

Yes

Yes

Yes

Pennsylvania

$10,000

No

No

No

Rhode Island 

$10,000 individual

$20,000 couple

Yes

Yes

Yes

South Carolina 

$2000 individual

$3000 couple

No

No

No

Texas 

$2000 individual

$3000 couple

Yes

No

Yes, Individual may deposit up to 50% of their gross earned income during a SSA qualifying quarter into the account. Funds in this account may only be used for health care or work-related expenses

What is the Resource Limit?

Are Retirement Accounts Excluded from Countable Assets?

Are Medical Savings Accounts Excluded from Countable Assets?

Are Approved Accounts for Employment or Independence Excluded?

Utah 

$15,000

Yes

No

No

Vermont 

Countable resources at time of enrollment not to exceed $2,000  for individual & $3,000  for couple

Plus assets accumulated from earnings since enrolment

Effective June 2005

Resources limits at time of enrollment increased to not exceed $5000 for individual and $6000 for couple.

Yes, if from earnings after enrollment

Yes, if from earnings after  enrollment

Yes, if from earnings after enrollment

Virginia 

At application resources cannot exceed SSI limits (Some further restrictions under Virginia’s 209(b) Medicaid state plan)

After enrollment, an eligible individual must establish in a bank or other financial institution a “Work Incentive” (WIN) account to deposit earnings and can accumulate resources up to an amount equal to Virginia’s Section 1619(b) threshold ($26,356 in 2006)

Yes, if from earnings after enrollment

Yes, if from earnings after enrollment

Yes, if from earnings after enrollment

Washington 

No  resources test

No resources test

No resources  test

No resources test

West Virginia

$5000 individual

$10,000 couple

Yes

No

Yes. Independence accounts from a recipient’s earnings

Wisconsin 

$15,000 (Only count individual assets)

Yes. Retirement accounts initiated after Buy-In enrollment are not counted. Retirement accounts existing prior to Buy-In enrollment are counted.

No

Yes, Independence Accounts

Wyoming

$2000 Individual

$3000 couple

No

No

N0

Table 3

Cost Sharing Policies:  Minimum Income Level and Premium or Cost Share Method

Income Level at which Premiums or Cost Shares Start

Premium

is a Percent of Income

Payment based on Income Brackets

Separate Premiums or Cost Share for Earned & Unearned Income

Alaska

100% FPL net family income

Yes. Varying percent by income with 10% maximum.

No

No

Arizona

$500 of earnings if in non-medical institutional care or not in HCBS community living.

No if not in institution.

Yes If in Medical institution with Personal Needs Allowance (15% of SSI standard) and Share of Cost requirement can also keep 50% of gross earned income

Yes, Not in institution

$10 / mo at $500- 750

countable earnings after SSI disregards

increasing by $5 for each $250 of earnings until

$35 / mo at $1750 -$1846 ef earnings.

See

No

Arkansas

Cost sharing in the form of co-pays.

Less than 100% FPL regular co pays.

Higher co-pays when income over 100% FPL.

No

No

No

California

A minimum of $20 premium at all income levels

No

Yes . $20  a month to a maximum of $250 a month

No

Connecticut

200% FPL net family income

Yes.  10% of family income minus any payments for private health insurance.

No

No

Illinois

$250 income per month

Yes

Yes

Yes

Premiums are calculated on approximations of

7 1/2% of unearned, 2% of earned income

Income Level at which Premiums or Cost Shares Start

Premium

is a Percent of Income

Payment based on Income Brackets

Separate Premiums or Cost Share for Earned & Unearned Income

Idaho 

133% of FPL

7.5% of countable income above 250% of FPL

Premiums for those between 133% and 250% to be set by Dept of Health and Welfare

No

Indiana 

When individual and spouses gross income exceeds 150% of FPL

No

Yes. Six brackets with a maximum of $187 / month when over 350% of FPL

No

Iowa 

150% FPL gross individual income

No

Yes.  Eleven brackets with monthly range from $20 to $207.

No

Kansas 

100 % of FPL

No

Yes. Eight brackets

No

Louisiana

150% of FPL

No

Yes

150%-200% FPL net income - $80/mo

200%-250% FPL net income - $110 / mo

No

Maine

150% FPL net family income; no premium if paying  Medicare Part B

No

Yes

150<200% FPL = $10 monthly.

200<250% FPL = $20 monthly.

No

Maryland 

Any income

$75 premium for six months of eligibility

No

No

No

Income Level at which Premiums or Cost Shares Start

Premium

is a Percent of Income

Payment based on Income Brackets

Separate Premiums or Cost Share for Earned & Unearned Income

Massachusetts 

(Part of Section 1115 Waiver program)

Premiums begin at 100% of FPL

Premiums based on income, family size, and availability of other insurance.  Clients pay a one time deductible similar to Medicaid spend-down to enroll.

  Premiums are based on one of two different sliding scales, one for those with, and one for those without other insurance. Premiums begin at 100% FPL and increase in increments of $5-$16 based on 10% increments of the FPL, and ranging from $15 - $912 per month (the upper range is at 1000% of FPL).

Michigan 

When earnings exceed $24,000 /year

( Approximate Section 1619 threshold in Michigan)

No

Yes.

$50 / month  up to $33,000 income

$190 / month up to $47,868 income

$460 / month up to $75,000 income

Countable earned income is gross earned income less allowable disregards

No

Minnesota 

Gross individual income of 100% FPL for family size. (Before 12/01/01, 200% FPL for family size.)

Yes. Scale from 1% to 7.5% of income above 100% FPL. (Before 12/01/01, 10% of income above 200% FPL.)

Effective Jan. 1, 2004 all enrollees must pay no less than $35 a month

However, effective Nov. 1, 2003, those with income less than 200% FPL must be reimbursed for Pt B Medicare premiums they may pay.

No

Yes. Effective Nov. 1, 2003 premium of one-half or one-percent of unearned income

Income Level at which Premiums or Cost Shares Start

Premium

is a Percent of Income

Payment based on Income Brackets

Separate Premiums or Cost Share for Earned & Unearned Income

Mississippi 

No Information

Missouri 

Program ended August 28, 2005

150% FPL

No

Yes. Four brackets

4% to 7% of income

No

Nebraska

200% FPL net family income

No

Yes.  Five income bands with premiums from 2% to 10%.

No

Nevada 

Yes

5 % of monthly net income if less than $1595

7.5% up to $1994 monthly net income

New Hampshire 

150% FPL net family income

No

Yes. Six income bands from $80 to $220 (2002 figures)

No

New Jersey 

150% of FPL

Flat rate

$25 individual

$50 couple

No

No

No

New Mexico

Co pays required at all income levels

No co pays for Native Americans

No

No

No

New York 

150% FPL of net income

Yes

No

Yes. 7.5% of Unearned income

Plus 3 % of earned income.

Moratorium on premiums until automated premium collection & tracking  available.

Income Level at which Premiums or Cost Shares Start

Premium

is a Percent of Income

Payment based on Income Brackets

Separate Premiums or Cost Share for Earned & Unearned Income

North Dakota 

Premiums apply at all income levels

Yes

One time enrollment fee of $100

5 % of gross income

No

No

Oregon 

Two part test:

1. Individual unearned income above SSI level, and

2. Individual's earned income above 200% FPL after work and disability related disregards.

No

No

Yes. Cost share is all unearned income above SSI income standard and special maintenance allowance, cost of mandatory taxes and cost of approved employment and independence expenses. Premium is on earned income - between 2% and 10% of individual’s earned income above 200% of FPL and remaining unearned income.

Pennsylvania 

SSI Income disregards used in determining countable income for premium determination

Yes. Premium of 5% of  countable monthly income

Option for payroll deduction to pay the monthly premium

No

No

Income Level at which Premiums or Cost Shares Start

Premium

is a Percent of Income

Payment based on Income Brackets

Separate Premiums or Cost Share for Earned & Unearned Income

Rhode Island

Premiums begin at 100% FPL.

All unearned income over the state’s Medically Needy Protected Income Level will be owed as premium

No

Yes

Countable earned income with premium:

100–149% of FPL $42

150-184% of FPL $62

185%-199% FPL -$82

200-250% FPL - $100

Yes

All unearned income over the state’s Medically Needy Protected Income Level will be owed as premium

South Carolina 

No premiums or cost sharing

No

No

No

Texas 

Above unearned income above Federal SSI benefit standard

Earned income above 150% FPL

No

Yes

Earnings                    Premiums           

150 – 185% FPL                  $20

Above 185% to 200% FPL    $25

Above 200% to 250% FPL    $30

Above 250% FPL                  $40

Yes

All unearned income over the SSI benefit rate

Utah 

100 % FPL

Yes. 15 % of Countable Net income of the individual only

No

No

Vermont 

No premiums due to administrative cost to states

No

No

Discontinued premiums due to administrative cost to state. Previously were as follows:

185%-225% FPL= $10

225%-250% FPL= $12 (if have private insurance) or $25 (if no private insurance)

No

Virginia 

No premiums for first six months of program

January 1 – June 30, 2007

A premium schedule will be established on a sliding scale based on individual enrollee income

A premium schedule will be established on a sliding scale based on individual enrollee income

A premium schedule will be established on a sliding scale based on individual enrollee income

No

Income Level at which Premiums or Cost Shares Start

Premium

is a Percent of Income

Payment based on Income Brackets

Separate Premiums or Cost Share for Earned & Unearned Income

Washington 

All participants pay a premium based on unearned and earned income. Premiums begin at $66 earned and $1 unearned income

Yes

See description under Separate premium for unearned and earned income.

No

Yes. 50% of  unearned income above the Medically Needy Income Level (MNIL); the MNIL is equal to $571;

plus5% of total unearned income.

Plus 2.5% of  earned income after first deducting $65

Except total premium cannot exceed 7.5% of total income.

West Virginia 

All participants pay a $50 enrollment fee and upon payment the first month’s premium payment is waived.

There is a minimum monthly premium of $15.

Yes.  A sliding scale of premiums based on the annual gross income of the individual with a maximum monthly premium not to exceed 3 ½ percent of the individual’s gross monthly income

No

No

Wisconsin 

Gross individual income below 150% FPL for enrollee’s family size

No

No

Yes, 100% of  the individual’s unearned income minus standard living allowance, work expenses, and medical and remedial expenses.  3% of individual’s earned income.

A minimum premium is $25. If the calculation is between $0-25 the person pays $0.

Wyoming

Premium on all earnings and all unearned income in excess of $600 a year

Yes Premium of 7.5% of total gross earnings form work and 7.5% of unearned income in excess of $600 a year

No

Yes. 7.5% of unearned income in excess of $600 a year.

Table 4

Work-Related Policies and Protections

Work Requirements

Protections for Temporary Loss of Employment

Protections When Returning to Other Eligibility Categories

Alaska

Must have earned income.

None

None

Arizona

Paid for working and paying FICA taxes

Guaranteed six months of eligibility the first time approved for program unless in institutional living arrangement

None

Arkansas

Working means employed in any ongoing work activity for which income is reported to the IRS. Employment must be verifiable with paycheck stubs, tax returns, 1099 forms or proof of Quarterly Estimated tax.

Yes Up to six  months and states that he/she intends to return to work

No

California

Provide proof of employment (e.g., pay stubs or written verification from the employer.

Self-employed, or contractor provide records (e.g., records and W-2 forms, 1099 IRS form.

No

No

Connecticut

Must make FICA contributions

Can continue Buy-In for one year after losing employment

Assets in retirement, Medical Savings Accounts, and approved accounts not counted during the individual’s lifetime

Idaho 

Is employed, including self-employment, and has provided the Department of Health and Welfare with satisfactory written proof of employment.

Illinois 

Employment must be verifiable by pay stubs and employer documents that income is subject to income tax and FICA.

No

No

Indiana

Employment must be verifiable by pay stubs and employer documents that income is subject to income tas and FICA.

Yes. Can continue Buy-In for one year after losing employment

None

Work Requirements

Protections for Temporary Loss of Employment

Protections When Returning to Other Eligibility Categories

Iowa 

Must have earned income.

Yes. May remain eligible for six months after work stoppage.

None

Kansas 

Employment must be verifiable by pay stubs and employer documents that income is subject to income tax and FICA.

Yes. May remain eligible for six months after work stoppage.

None

Louisiana 

Employed

Yes. May remain eligible for six months after work stoppage

No

Maine

Must have earned income

None

None

Maryland 

Employed  To Provide four recent consecutive weeks pay stubs, or a signed and dated statement from employer showing regular pay before deductions.

Yes. Remains eligible for up to four months after loss of employment due to illness or reasons beyond the individual’s control.

No

Massachusetts 

(Part of Section 1115 Waiver )

Michigan

Is employed on a regular and continuing basis

Up to 24 months if  the result of an involuntary layoff or determined to be medically necessary

No

Minnesota

Pre Jan. 1, 2004 - Some income from work every 30 days.

Effective Jan. 1, 2004, must document earned income tax withholding and FICA tax withheld. Must have sufficient monthly gross earning to qualify for initial earned income disregard of $65 per month to be eligible.

Pre Dec. 1,01 Up to 2 months of medical leave and allowances for switching jobs.

After 12/1/01, up to 4 months of leave due to medical condition.

Effective Jan. 1 2004, in addition, if loss of employment not attributable to enrollee, may continue for 4 months but must pay premiums in such cases.

As of 12/1/01, up to $20,000 in assets protected for one year

Missouri 

Program ended August 28, 2005

Employed

None

Independent Living Development account funds are exempt until the person becomes 65

Mississippi 

Nebraska 

Must have earned income.

None

None

Work Requirements

Protections for Temporary Loss of Employment

Protections When Returning to Other Eligibility Categories

New Hampshire 

Be working (proven with a pay stub or 1099 Estimated Tax statement if the individual is self-employed)

Yes. If a Buy-In  recipient loses his or her job, there is a 12 month period during which time he or she will remain on Buy-In as long as the person:

Intends to go back to work within the next 12 months, and

Lost his or her your job due to good cause

Yes. Earned Income Accounts- Resources from earnings that a person puts into a special account will not be counted toward any future Medicaid eligibility for the person’s lifetime

New Jersey 

Be employed either full or part time

None

None

New Mexico 

Proof of wages to show that the applicant has earned or expect to earn at sufficient earnings in the current calendar quarter (or at least that amount in the last quarter of the previous year) to have that quarter qualify to count toward Social Security coverage ($890 in a quarter in 2003)

New York 

Be working

A grace period can be for up to six months in a 12-month

period. Multiple grace periods may be granted as long as the sum of the grace periods does not exceed six months in a 12-month period. Grace periods may be for medical reasons or job loss through no fault of participants and intends to return to work.

No

North Dakota

Gainfully employed

No

No

Oregon

Must be attached to the workforce (defined as earning at least $920 per calendar quarter)

None

None

Rhode Island 

Have proof of active, paid employment such as a pay stub or quarterly IRS tax statement for those self employed. 

Yes, Person who loses employment may retain eligibility for up to four months by paying a premium equal to all of their unearned income over the Medically Needy Income Level

Yes

Pennsylvania 

Employed and receiving compensation

Yes. Two months

No

Work Requirements

Protections for Temporary Loss of Employment

Protections When Returning to Other Eligibility Categories

South Carolina 

Earning at least $830 / month

Texas 

A person’s earnings and FICA contributions must be enough in a calendar quarter to count as a Social Security Administration “qualifying quarter.”

None

No

Utah 

Pay stubs or a business plan is needed to verify employment

Yes.  A person can continue to qualify under the increased assets limit for 12 months following job loss

No

Vermont

Must have earned income.

None

None

Virginia 

Applicant/enrollee must be engaged in competitive employment in an integrated setting and receive compensation at or above the minimum wage from which payroll taxes are withheld( documentation required). If self-employed, earnings must be demonstrated through documentation of IRS filings, quarterly estimated taxes, business records and/or business plan.

Yes

Enrollees who are unable to maintain employment due to illness or unavoidable job loss can remain in the program as unemployed for up to six months with the continued payment of any required monthly premium. Enrollees who are unable to sustain employment and must terminate from the program will be evaluated expeditiously by the local Department of Social Services to determine if they meet the eligibility requirements for any other Medicaid covered groups. This will be completed before an enrollee is terminated from the program.

Resources accumulated after enrollment in the Medicaid Buy-In program from enrollee earnings that are held in WIN accounts and are no greater than the WIN limit will not be counted in the eligibility determination for other Medicaid covered groups. If found eligible and enrolled in another Medicaid covered group, the individual will have up to one year to dispose of these funds before they are counted toward ongoing Medicaid eligibility.

Resource accumulated after enrollment from enrollee earnings held in the following IRS-approved accounts that have been designated as I WIN accounts will not be counted in any future eligibility determinations. Those include IRS approved retirement, medical savings, eduction and independence accounts.

Work Requirements

Protections for Temporary Loss of Employment

Protections When Returning to Other Eligibility Categories

Washington 

Get paid for working; and have earnings that are subject to federal income tax; and have payroll taxes taken out of  wages, unless

self-employed.  If self-employed, must provide tax forms such as the Internal Revenue Service Schedule SE form  and/or legitimate business records.

If enrollee loses job after enrolling in the HWD program they can choose to continue your enrollment in the HWD program through  the end of  their  current certification period (up to 12 months), if:

Loss of employment is due to a health crisis or involuntary dismissal; and

They intend to return to work after the health crisis has passed or continue looking for new employment; and  they  continue paying their  monthly premium based on their  remaining income.

None

West Virginia 

Engaged in competitive employment, including self employment or non-traditional work and the work results in remuneration at or above the minimum wage in an integrated setting.

Yes. For up to six months from the individual’s involuntary loss of employment and the individual maintains a connection to the workforce.

None

Wisconsin

Must be working or enrolled in an employment counseling program. Can remain in employment counseling for up to one year.

Can enroll in health and employment counseling  (time limited and restricted to twice in 5yr period.)

Can waive work requirement for six months due to a health setback.

None

Wyoming

No specific provision in state legislation

None

None