How to Get Medicaid for Disabled Individuals

Medicaid for Disabled

Medicaid is one of the most popular public health insurance programs operated by the US federal government in conjunction with numerous states.

Medicaid covers tens of millions of Americans, especially those with disabilities.

Every member state within this program is responsible for providing the relevant assistance to policy-holders, per federal regulations.

The federal and state governments bear the total cost of this public health insurance program.

Disability Medicaid

Disability Medicaid offers health insurance coverage to persons with disabilities.

People who suffer from medical or physical disabilities are eligible to receive extra medical services, which are not covered under any other Medicaid program.

This insurance cover is aimed at people with disabilities of all ages.

According to Medicaid, disability is the “inability to do any substantial gainful activity”. This may include a medically recognized physical or mental impairment, which:

  • Can result in fatality
  • Has continued or is expected to continue for 12 months or over

Disability Medicaid Coverage

Disability Medicaid provides the same health care benefits as other Medicaid programs. This health insurance policy also covers dental services for adult policyholders.

In addition, this insurance program may also offer coverage for several other services not covered under other Medicaid programs, such as incontinence supplies.

Eligibility Criteria for Disability Medicaid

As with any other insurance program, several strict criteria are ruling the eligibility of applicants for the benefits provided by Disability Medicaid.

Eligibility Criteria for Disability Medicaid

Eligibility Criteria for Disability Medicaid

To be eligible for the Disability Medicaid program, the applicant should:

  • Be a US citizen or qualified resident alien (not when applying only for emergency services)
  • Be a resident of the state
  • Meet resource and income limits prescribed under the law

Apart from these criteria, to meet the requirements of Disability Medicaid, you should be classified as disabled per the specific criteria. A Medical Review or Social Security officer can determine whether you fulfill the disability criteria required to get benefits under Disability Medicaid.

If, at the time of applying, you are not classified as disabled, then you need to follow these steps:

  • Contact the Department of Workforce Services and speak with an eligibility worker regarding the type of Disability Medicaid you wish to apply for. You can also fill out the application form online or print a paper application to fax or mail to Workforce Services.
  • Collect the medical information about your disability. You may also need to fill and complete several other forms which your medical care provider will provide.
  • Collect details about your income and assets. Workforce Services often requests applicants to send several documents to verify their eligibility.

In addition, the Medical Review Officer may ask you to undergo a medical examination by a certified doctor. In such a case, the state government will bear the cost of said medical examination.

Once you are classified as being disabled (as per eligibility criteria) and are considered to be eligible for Disability Medicaid, then you may also be asked to request income benefits from the Social Security department.

Adult Expansion Medicaid – Alternate Medicaid for Disabled

Adult Expansion Medicaid offers insurance coverage to adults who are not disabled, pregnant, or caring for minor children.

This program is available to all between the ages of 19 and 64. These individuals must prove that their income does not exceed 100% of the federal poverty level.

In addition, you must also meet the general eligibility criteria for Medicaid to receive benefits under this insurance plan.

Numerous medical services are covered under Adult Expansion Medicaid, excluding dental care services for adults. Services covered under this insurance program may differ slightly from state to state.

Apart from this, the Adult Expansion Medicaid program is not provided to individuals considered eligible for benefits under conventional Medicaid.

If you qualify for Adult Expansion Medicaid, then you are eligible for healthcare services, such as:

  • In-patient hospital care
  • Physician visits
  • Specialist care
  • Pharmacy
  • Out-patient services (therapy, labs, etc.)
  • Substance abuse and mental health disorders
  • Ambulance services and emergency room services
  • Non-emergency transportation

Adult Expansion Medicaid is considered ideal for those who are in the process of applying for Disability Medicaid and do not have Medicaid coverage and are awaiting a decision about their disability.

To get additional information, we advise you to contact your local Workforce Services to learn the specific eligibility criteria and benefits under this insurance program.


Disability Medicaid has helped millions of Americans overcome their disabilities and live a comfortable, healthy life.

If you are eligible for this insurance program, contact your nearest Workforce Services or Social Security officer now.

See Also

Grants for Disabled Veterans

Free Dental Implants for Disabled

Free Medical Equipment for Disabled

Disability Insurance for Physicians

Follow us