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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.

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