Health and Employment Counseling
Frequently asked Questions
How long can I be enrolled in HEC?
You may be enrolled in the Health and Employment Counseling process for up
to 9 months. At the end of 9 months you must be working to continue to
receive your Medicaid coverage through the Medicaid Purchase Plan. The
clock starts ticking on your 9-month period of enrollment when the Department of
Health Services approves your Employment Plan. Important dates,
including the start and end date of your HEC period, will be noted on the DHS
approval letter that you will receive. In some circumstances, people may apply for a 3-month extension. If you
in HEC and after 6 months are not yet employed, but think you
could be soon, you may want to apply for a 3-month extension. You must
apply for an extension before the end of the 7th month of HEC
participation to prevent any gaps in your Medicaid coverage. You may participate in HEC two times within a five-year period, but
periods must be at least six months apart.
NOTE: Any period of HEC enrollment, whether or not you use the entire 9
months available, will count as one HEC period.
Why is HEC participation limited to 9 months?
The Health and Employment Counseling Program is intended for people who
can be employed within a short period of time. If your employment goals will
take longer than 9 months to achieve, you should wait to apply for HEC when you
are closer to achieving
How do I get a disability determination?
If you do not have a disability determination from the Disability
Determination Bureau, you will need to apply for one with the county or tribal
economic support office in your area. It sometimes takes a few months to obtain the determination, so the sooner
you start the paperwork, the sooner you can participate in the Medicaid
Purchase Plan (MAPP)! Remember, you should apply for the Medicaid Purchase Plan before you enroll
and Employment Counseling, to make sure you meet all the MAPP
What should I do when I become employed?
When you become employed during your HEC period, report this to your
worker and Department of Health Services HEC Manager right away.
Last Revised: January 05, 2012