Budget MIWD

Medical Insurance for Workers with Disabilities (MIWD) is a program designed for Medicaid recipients between the ages of 16 – 64 with an SSA/SRT approved disability, or an IRT approved medical improvement, and who are employed. To be eligible for MIWD, they must have a failed AABD budget due to excess income. Those eligible for MIWD can fall into one of two groups, MIWD Basic or MIWD Medical Improvement.

To be approved for MIWD Medical Improvement, the individual must have been eligible under MIWD Basic but lost their SSA/SRT disability determination due to a medical improvement. The individual must qualify for a medical improvement determination from DHHS’s Internal Review Team (IRT). MIWD eligibility is determined by DHHS.

The steps for processing an MIWD Basic case are as follows:

• Pend a Non-MAGI MED case
• View the SSA interface to determine disability status
• In Expert, select the Medical Impairment task
• If not already interfaced, choose the appropriate Med Impairment SSA/SSI or SRT from the option list
• Add the verified earned income, in addition to other verified points of eligibility (unearned income, resources, expenses, living arrangement, family relationships, health insurance premiums, etc.)
• Run the MED budget, select MIWD when prompted, review and approve

The steps for processing an MIWD – Medical Improvement case are as follows:

• A Medical Impairment record of IRT approved MIWD – Medical Improvement must exist (MLTC-75)
• In Expert, select the Medical Impairment task under Non-Financial
• From the option list, choose MIWD MED IMPROVEMENT and choose IRT (Internal Review Team) as the verification source
• Enter a start date and review date set for 12 months after the start date
• Add the verified earned income, in addition to other verified points of eligibility (unearned income, resources, health insurance premiums, etc.)
• Run the MED budget, select MIWD when prompted, review and approve
• Standardized Narrative Template titled Medical Improvement Group, is available to document action taken

(08-2021)