37.84.103 HELP ACT: ELIGIBILITY FOR COVERAGE (1) An individual qualifies for Medicaid coverage under the HELP Program if the person is a Montana resident who meets the eligibility criteria for Medicaid expansion coverage as authorized at 42 U.S.C. 1396a(a)(10)(A)(i)(VIII) (2015). (2) HELP Program coverage, as specified in (1), is inclusive of a person who is 19 through 64 years of age, has a modified adjusted gross income at or below 138% of FPL as appropriate to the household size, and is not: (a) pregnant at the time of enrollment; (b) entitled to or enrolled in Medicare; (c) disabled as determined for purposes of social security; or (d) in one of the other categories for Medicaid coverage that are excluded from Medicaid expansion coverage by the language of the applicable federal authority. History: 53-2-215, 53-6-113, 53-6-1305, 53-6-1318, MCA; IMP, 53-2-215, 53-6-101, 53-6-131, 53-6-1304, MCA; NEW, 2015 MAR p. 2294, Eff. 1/1/16. |