ARM 6.6.1908

ARM 6.6.1908. ELIGIBILITY REQUIREMENTS FOR THE MACP HIGH RISK POOL PLAN

SupersededLast amended: 2010Length: 134 wordsOfficial source

Cite as Mont. Admin. R. 6.6.1908

(1) "Federally defined PPACA high risk pool individual" or "MACP eligible," means an individual who: (a) is a citizen, or national, of the United States, or is lawfully present in the United States in accordance with the applicable provisions of PPACA; (b) has not been covered under creditable coverage as defined in 33-22-140, MCA (2009), during the six month period prior to the date on which such individual is applying for coverage under the MACP; (c) is a Montana resident; and (d) has a preexisting condition. (2) A preexisting condition that triggers eligibility for the MACP pool is defined as: (a) complying with 33-22-1501(7)(a)(iii)(A) and (B), MCA; or (b) a medical condition identified as a "presumptive condition" by the MCHA; or (c) as otherwise defined by the U.S. Secretary of Health and Human Services.
ARM 6.6.1908: ARM 6.6.1908. ELIGIBILITY REQUIREMENTS FOR THE MACP HIGH RISK POOL PLAN | Justis AI