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Agency Letterhead ATTACHMENT III Page 1 MEDICAID BUYING PROGRAM FOR WORKING PEOPLE WITH DISABILITIES (MID) MEDICAL IMPROVEMENT GROUP GRACE PERIOD REQUEST FORM Please complete, sign and date this form

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What is medicaid buy-in program for?

The Medicaid buy-in program is designed to provide affordable health coverage for individuals who have disabilities, are working, and have income and resources that exceed the limits for traditional Medicaid eligibility.

Who is required to file medicaid buy-in program for?

Individuals with disabilities who are working and have income and resources that exceed the limits for traditional Medicaid eligibility are required to file for the Medicaid buy-in program.

How to fill out medicaid buy-in program for?

To fill out the Medicaid buy-in program, individuals need to complete the application form provided by their state's Medicaid agency. The form will require information about their income, resources, employment status, and disability status.

What is the purpose of medicaid buy-in program for?

The purpose of the Medicaid buy-in program is to ensure that individuals with disabilities who are working can access affordable health coverage, even if their income and resources exceed the limits for traditional Medicaid eligibility.

What information must be reported on medicaid buy-in program for?

The Medicaid buy-in program requires individuals to report information about their income, resources, employment status, and disability status. Specific requirements may vary by state.

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