The department shall establish and implement a buyin program to provide medical assistance to an individual who, except for substantial gainful activity, meets the definition of disabled under the supplemental security income program under title XVI of the federal Social Security Act, who is at least sixteen but less than sixty-five years of age, and who is gainfully employed. The program:

Ask a legal question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

1.    Must be made available to an individual with a disability who is a member of a household with a net income less than two hundred twenty-five percent of the most recently revised official poverty line published by the federal office of management and budget applicable to the household size; 2.    Must allow up to an additional ten thousand dollars in assets; 3.    Must require the payment of a premium that is based upon a sliding scale which may not be less than two and one-half percent nor more than seven and one-half percent of the individual’s gross countable income; 4.    Must include a one-time program enrollment fee of one hundred dollars; 5.    Must provide that the failure of an enrolled individual to pay premiums for three months may result in the termination of enrollment in the program; and

6.    May not require the payment of a premium or enrollment fee or disenroll an individual for failure to pay a premium or enrollment fee for workers with disabilities coverage during a federally declared emergency if collection of the premium or enrollment fee may impact the receipt of federal funds.