Medicaid for the Elderly, Blind or Disabled
Medicaid Purchase Plan (MAPP)
This plan is a full-benefit plan that provides health care coverage for people with disabilities who are working or are enrolled in the Health and Employment Counseling Program
Assets — The total countable assets of a MAPP
applicant or member must be $15,000 or less. Assets owned by the
applicant’s spouse do not count towards this limit.
Income Test — The income limit for MAPP is 250% of the FPL
(see Monthly Income Limits Table).
Independence Accounts — If you are enrolled in MAPP, you can set up Independence Accounts. These accounts will not affect your enrollment.
There is no limit to the number of accounts you may set up, and there is no restriction on how you use the money. Any income you deposit while you are enrolled in MAPP will not be counted as an asset. Deposits (earned or other income) in your independence account may total up to 50% of gross earnings over a 12-month period, without penalty. If the deposits
exceed 50% of your actual gross earnings, a penalty may be assessed.
Income Test — The income limit for MAPP is 250%
of the FPL (see Monthly Income Limits Table). You and your spouse’s monthly income,
if you are living together, are counted for the MAPP Income test.
|| Gross Earned Income
|| $65 and ˝ Earned Income Credit
|| Impairment Related Work Expenses
|| Gross Other Income
| - $20
|| Standard Medicaid Credit
|| Court-ordered Support Payments
|| Self-Support Plan Credit
|| Credit for Court-Ordered Guardian or Attorney Fees
|| Counted Income for MAPP
Compare your Counted Income to the
Income Limits Table. If your counted income is less than 250% of the FPL for your group size, you may be enrolled in
MAPP. When determining your group size, include you, your spouse and your minor dependent children (natural or adopted) living with you. Do not include your stepchildren in the group size.
MAPP Premiums and Copays
If your gross income exceeds 150% of the FPL for your group size you will need to pay a premium to enroll in
Monthly Income Limits Table). In addition to a monthly premium, you
may also have copays (see
Covered Services and Copays).
If you do not pay the monthly premium on time, you may
be subject to a specific period of time during which you cannot be
enrolled in MAPP, unless there is good cause.
For more information about premiums, see the MAPP Consumer Guide you will get when you enroll in
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February 07, 2013