MAPP Basics
This is what the acronym MAPP stands for.
What is Medicaid Purchase Plan?
To qualify for MAPP, you must be at least this age.
What is 18 years old?
This type of income includes Social Security benefits, pensions, and unemployment benefits and is countable for MAPP.
What is unearned income?
Failure to pay premiums by this monthly deadline may result in termination of benefits.
What is the 10th of each month?
This asset, often a person’s main place to live, is not counted toward the MAPP asset limit.
What is a primary residence or home?
This is the maximum asset limit for someone applying for MAPP.
What is $15,000?
This payment is sometimes required for MAPP members with higher income and must be paid to maintain eligibility.
What is a monthly premium?
These are actual work-related costs related to a disability that can be subtracted from earned income to lower countable income under MAPP.
What are Impairment-Related Work Expenses (IRWEs)?
These are some ways MAPP premiums can be paid.
What are online payment (ACCESS), Check or money order by mail, in person, or electronic funds transfer (EFT)?
If a person exceeds the asset limit, they may lose MAPP eligibility unless they do this to reduce assets.
What is spend down or asset reduction?
MAPP was created to encourage people with disabilities to do this without losing their Medicaid.
What is return to work (or work while maintaining Medicaid coverage)?
A person who is not receiving SSA disability benefits must complete this application to verify disability for MAPP.
What is the Medicaid Disability Application-MADA and ADDD?
This deduction allows a portion of earned income to be disregarded to encourage employment.
What is the earned income disregard?
If this happens, MAPP coverage can be terminated.
What is missing or late premium payments?
To qualify for the work exemption, the member must provide this type of documentation.
What is medical documentation or doctor’s note verifying their inability to work?
This special type of account allows MAPP members to save money without counting it toward their asset limit.
What is an Independence Account?
If a MAPP member stops working temporarily, they may keep coverage for up to this many months with a Good Cause reason.
What is 6 months?
These out-of-pocket medical costs can be deducted from income to help lower countable income and maintain Medicaid eligibility under MAPP.
What are Medical Remedial Expenses (MREs)?
MAPP members with income above this amount of the federal poverty level may be required to pay premiums.
What is 100% of the Federal Poverty Level (FPL)?
Only funds deposited in a registered Independence Account under this condition can be exempted from the MAPP asset limit.
What is while a member is eligible for MAPP?
This specific work requirement must be met to maintain MAPP eligibility, even if the income is minimal.
What is performing at least one hour of paid work or IN-KIND per month or being self-employed?
This bureau is responsible for making disability determinations for MAPP applicants who are not already found disabled by SSA.
What is the Disability Determination Bureau (DDB)?
MAPP calculates monthly premiums using this income amount, not the total income of all household members.
What is the individual’s gross monthly income?
This agency sets the premium amounts and updates them annually for MAPP participants.
What is the Wisconsin Department of Health Services (DHS)?
This is the maximum dollar amount a MAPP member can contribute to their Independence Account annually without it being counted as an asset.
What is 50% of their gross annual earnings?