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Rule: 37.82.1007 Prev     Up     Next    
Rule Title: MEDICAID FOR WORKERS WITH DISABILITIES: COST SHARE FEES
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Department: PUBLIC HEALTH AND HUMAN SERVICES
Chapter: MEDICAID ELIGIBILITY
Subchapter: Medicaid for Workers With Disabilities
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.82.1007    MEDICAID FOR WORKERS WITH DISABILITIES: COST SHARE FEES

(1) Except as provided in (2) below, an otherwise eligible individual must make a monthly cost share fee in accordance with the table in (3) below, as a condition of eligibility for benefits under the Medicaid for Workers with Disabilities program. The payment is based on the gross income of the individual only, not the individual's family income. The amount of the payment varies depending on what percentage of the federal poverty level for a family of one the individual's gross income represents.

(2) Indians are not required to pay any cost share fee regardless of their income.

(3) The amount of an individual's cost share fee will be determined using the following table:

 

Gross Income as a percentage of federal poverty level (FPL)
Monthly gross income dollar amount
Monthly payment
Up to 100%
$01.00 to $903
$35
Over 100% to 150%
$903.01 to $1,354
$67
Over 150% to 200%
$1,354.01 to $1,805
$100
Over 200% to 250%
$1805.01 to $2,256
$135

History: 53-6-113, 53-6-195, MCA; IMP, 53-6-131, 53-6-195, MCA; NEW, 2010 MAR p. 2733, Eff. 11/27/10.


 

 
MAR Notices Effective From Effective To History Notes
37-512 11/27/2010 Current History: 53-6-113, 53-6-195, MCA; IMP, 53-6-131, 53-6-195, MCA; NEW, 2010 MAR p. 2733, Eff. 11/27/10.
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