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Appendix II 227Health Care Financing AdministrationCenter for Medicaid and State OperationsAugust 29, 2000Dear State Medicaid Director:This is the second in a series of letters that provide guidance on the implementation of the “Ticket toWork and Work Incentives Improvement Act of 1999” (TWWIIA). This legislation improves access toemployment training and placement services for people with disabilities who want to work. It also offersStates unprecedented opportunities to eliminate barriers to employment for people with disabilities byimproving access to health care. Our first letter, dated March 29, 2000, provided (a) general informationabout the legislation, (b) an overview of our plans for implementing the two new Medicaid eligibilitygroups created by the legislation, and (c) a description of our plans for issuing grants to assist States withthe infrastructure and for demonstration projects.This letter provides more detailed information about the two new Medicaid eligibility groups. Thosegroups are briefly described below, with particular emphasis (as discussed in the enclosure to this letter)on how eligibility is determined for those applying for coverage under these groups.New Eligibility Groups Related to Employment (Section 201 of the legislation). TWWIIA created twonew optional categorically needy Medicaid eligibility groups.Under what we are calling the “Basic Coverage Group” (otherwise known as the subsection (XV) eligibilitygroup), States can cover individuals who are age 16 or over, but under age 65, and who, except forearned income, would be eligible to receive Supplemental Security Income (SSI) benefits, regardless ofwhether they have ever received SSI cash benefits. This group is similar to the group created by section4733 of the Balanced Budget Act (BBA), except that eligibility is not limited to people with family incomebelow 250 percent of the Federal poverty level family income limit, AND under this new group Statesare free to establish their own income and resource standards (including the option to have no incomeor resource standards at all).Under what we are calling the “Medical Improvement Group,” States can cover employed individualswith a medically improved disability who lose Medicaid eligibility under the Basic Coverage Groupdescribed above because their medical conditions have improved to the point where they are no longerdisabled under the SSI definition of disability. If a State wants to cover this group, it must cover the BasicCoverage Group described above.As with the original BBA group, States may impose premiums or other cost-sharing charges on a slidingscale based on income for individuals eligible under both of the new eligibility groups. For individualswith annual adjusted gross income (as defined by the IRS) that exceeds $75,000, States are requiredto charge 100 percent of the premiums they may impose. However, States can subsidize the premiumcost for these individuals, using State funds.Both of these new eligibility groups become effective on October 1, 2000.I enclose a detailed explanation of how eligibility is determined under the two new groups. We have alsodeveloped draft State plan preprint pages which States can use, if they wish, when submitting MedicaidState plan amendments to implement either or both of these groups. The draft preprint pages are availablefrom your HCFA regional office eligibility contact or State Representative, from the HCFA CentralOffice contact shown below, or they can be downloaded from HCFA’s Work Incentives website atwww.hcfa.gov/medicaid/twwiia/twwiiahp.htm.
228 UNDERSTANDING MEDICAID HOME AND COMMUNITY SERVICES: A PRIMERIf you have questions about the new eligibility groups created by the Ticket to Work and WorkIncentives Improvement Act of 1999, please contact Roy Trudel of my staff at 410-786-3417 (e-mail:rtrudel@ hcfa.gov).We look forward to working with you as you consider the options available to your State under this legislation,which has the remarkable potential to assist people with disabilities to work in competitiveemployment.Sincerely,Timothy M. Westmoreland, DirectorCenter for Medicaid and State OperationsEnclosure: Explanation of Eligibility Groups
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Understanding MedicaidHome and Comm
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Gary Smith, the Primer’s principa
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viiiUNDERSTANDING MEDICAID HOME AND
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IntroductionPeople of all ages with
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Introduction 31998—is the group m
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Introduction 5This Primer has been
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CHAPTER 1Medicaid Coverage of Home
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Medicaid Coverage of Home and Commu
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CHAPTER 2Financial Eligibility Rule
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Financial Eligibility Rules and Opt
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es on the complexity of Medicaid el
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CHAPTER 3Health and Functional Crit
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Health and Functional Criteria for
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CHAPTER 4Options for Designing Serv
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Options for Designing Service Cover
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as barriers to coverage (i.e., comp
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CHAPTER 5Factors to Consider WhenCh
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Factors to Consider When Choosing C
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Factors to Consider WhenChoosing Co
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CHAPTER 6Transitioning People fromI
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Transitioning People from Instituti
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Guide to Chapter 7Consumer Directio
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Supporting Informal Caregiving 1Inf
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under an HCBS waiver program. This
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Guide to Chapter 9Outreach, Applica
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