Losing eligibility for MA or MA-EPD

MA-Waiver programs are only available to people enrolled in disability-based Medical Assistance (MA) or Medical Assistance for Employed Persons with Disabilities (MA-EPD).

Note: Many people who get MA get it because they have low income, not because they have a disability determination. If you get MA and are not sure whether you get it due to your disability, Chat with a Hub expert to check or contact your local county human services agency.

If you’re not on disability-based MA or MA-EPD, you can’t enroll in a MA-Waiver program.

There are a number of things that could lead to a loss of disability-based MA or MA-EPD coverage, including medical redetermination or an increase in assets. If you’re on a MA-Waiver program, make sure you understand the MA and MA-EPD eligibility rules so that you don’t inadvertently lose access to your MA-Waiver services.

Not researching program availability

The number of slots available for each MA-Waiver program varies from year to year. In some cases, there may be a waiting list for the program you wish to enroll in.

If you think you’re eligible for a MA-Waiver program and you need the services it offers, contact your county human services agency to begin the application process. You can check with your human services agency at the beginning of the year to find out how many slots are available for the program you’re interested in.

Not documenting your medical condition clearly

The more specifically you document your medical condition, the easier it will be to support your application if you apply for disability benefits. Keep track of medical appointments and write about your symptoms in a daily journal. If you can't write in a journal yourself, ask a friend or relative to do so.

Not asking enough questions or staying on top of paperwork

Fill out and return all renewal forms and any other paperwork related to your health coverage on time. Be sure to participate in annual medical and other assessments. Ask questions and learn how changes in income may affect your eligibility for health care coverage and disability benefit programs. Chat with a Hub expertPopup Link if you have questions.

Misinformation

It can be difficult to find accurate and complete information about public benefits programs. Some social workers and advocates may have limited knowledge of available options. They may also be unaware of how changes in income or employment can affect eligibility for such programs.

To be sure the information you receive is accurate and complete, Chat with a Hub expert or contact your county human services agency.