If an individual indicates that he or she no longer wants Premium-HI for the Working
Disabled because of inability to pay the Part A premium, explain the requirement that
States pay Part A premiums for “qualified disabled and working individuals (QDWI).” Refer interested individuals to the appropriate State or local Medicaid agency for
further information and enrollment.
NOTE: QDWIs are individuals entitled to Premium-HI for the Working Disabled whose income
does not exceed 200 percent of the Federal poverty guidelines and whose resources do not exceed twice the SSI resource level.