Medicaid Disability
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Medicaid Disability is a Medicaid aid category designed to serve individuals who are living with a disability. In general, to qualify for Medicaid under this category, individuals must meet three qualification criteria: income limits, resource limits, and the Social Security Administration’s definition of disability. As of June 1, 2014, Indiana will automatically enroll individuals that the Social Security Administration (SSA) determines eligible for Supplemental Security Income (SSI) into the Indiana Medicaid program and will accept all SSA determinations of disability.
Income LimitsMonthly income is used along with resources and disability determination to evaluate eligibility. Monthly income limits vary based on an individual’s circumstances.
Resource LimitsIndividuals who qualify for Medicaid Disability may have a limited amount of resources. It is important to note that certain items (for example: the person’s home, one car that is used for medical reasons, and some retirement savings) are exempt from the determination of countable resources. The resource limits are:
*MED Works members may hold approved accounts with additional assets
Disability Criteria and DefinitionThe SSA has a strict definition of disability for children:
The SSA determines whether applicants meet their definition of disabled. Programs for Medicaid Members with DisabilitiesHoosier Care Connect:
Hoosier Care Connect is a system of coordinated care for eligible members who are blind, disabled, and/or over the age of 65 and who are not eligible for Medicare. Hoosier Care Connect participants have the option to participate in disease management programs that the Care Management Organizations (CMOs) provide for their chronic condition and receive additional services, such as preventative and pregnancy care, home and hospital care, vision and dental care, and transportation. Traditional Medicaid: Traditional Medicaid, sometimes called “Fee-for-Service” (FFS) or “Medicaid Disability”, is a healthcare program that offers medical care, such as: doctor visits, prescription drugs, dental and vision care, family planning, mental health care, surgeries, and hospitalizations to eligible individuals. Home and Community Based Services (HCBS) Waiver members are usually enrolled in Traditional Medicaid. MED Works: MED Works is Indiana’s Medicaid program for working people with disabilities. To be eligible for M.E.D. Works, one must be aged 16-64 years, meet income and asset guidelines, have a disability, and be working. Eligible members may have to pay a monthly premium How to ApplyApply for Supplemental Security Income (SSI): Applications to the SSA for Supplemental Security Income (SSI) are treated as applications for Medicaid under 1634 status. Individuals that are found eligible for SSI will automatically receive Medicaid Disability. Note that SSA determinations may take longer than the 90 days required for Medicaid eligibility determinations. More information can be found here: https://www.ssa.gov/apply
Apply directly to Indiana Medicaid: All members may also apply to Indiana Medicaid to ensure they receive a timely eligibility determination. Members that are not eligible for SSI must apply to Indiana Medicaid to have their eligibility determined. Application for Medicaid is completed through the Division of Family Resources (DFR). Applications may be completed at the county office, by mail, or online.
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Programs and systems change often. It is important to ensure that you are using the most current information. Please check https://www.inf2f.org/fact-sheets.html for the most recent edition.
This fact sheet was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $96,750 with 89% percent financed with nongovernmental sources. The contents are those of INF2F and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.
This fact sheet was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $96,750 with 89% percent financed with nongovernmental sources. The contents are those of INF2F and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.
