Q-6000, Qualified Disabled and Working Individuals – MC-QDWI

Revision 22-2; Effective June 1, 2022

A person with a disability who gets Social Security disability payments and free Medicare may work. If the person’s earnings exceed a certain amount over a time-period, the Social Security Administration (SSA) may stop the person’s Social Security benefits and free Medicare. Under Section 1818A of the Social Security Act, a person may pay the Medicare Part A premium if SSA denies the person’s free Medicare because of earnings.

Persons eligible for QDWI do not receive regular Medicaid benefits. They must be disabled working individuals entitled to Medicare Part A (hospital coverage). Medicaid will pay the Medicare Part A premiums for QDWIs.

SSI policy is used to determine eligibility for the Qualified Disabled and Working Individuals (QDWI) Program – MC-QDWI. To be eligible for QDWI coverage, a person must:

• be under 65 years old;
• be entitled to benefits under Medicare Part A;
• not otherwise certified under any other Medicaid-funded program;
• have a monthly income equal to or less than 200% of the federal poverty level; and
• have no more than twice the countable resources allowed under the SSI program.

Resource Limits

• Individual – $4,000
• Couple – $6,000