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