M-1200, Program Overview

Revision 22-3; Effective September 1, 2022

The MBI program is a Medicaid program for people with disabilities who are working and earning more than the allowable limits for regular Medicaid. MBI allows people with disabilities who are working to earn more income without the risk of losing vital health care coverage. The income limit is up to 250% of the federal poverty level (FPL). A person may have to pay a monthly premium as a condition of eligibility. The amount of the premium is determined on a sliding scale, based on the recipient’s earned and unearned income.

MBI recipients receive a Your Texas Benefits Medicaid ID card. If a recipient is eligible for both Medicare and Medicaid, prescriptions are available through a Medicare Part D Prescription Drug Plan.

All regular MEPD policies apply to this program except for the eligibility items specifically identified in this chapter. For example, citizenship and Texas residency are not addressed in this chapter. Therefore, follow regular MEPD policies for citizenship and Texas residency.

All eligibility requirements for this program must be verified. MBI is not a client-declaration program.