The Healthier Mississippi Waiver enrollment started Jan. 1, 2006, and is for individuals age 65-years-old or older, or disabled with no Medicare. Effective July 24, 2015, the maximum number of individuals who can be enrolled in this waiver may not be more than 6,000 at any given time. If enrollment reaches 6,000, the waiver is closed to enrollment until the number of individuals enrolled is fewer than 6,000. For more information, view the Healthier Mississippi Waiver brochure.
Who is Eligible for the Healthier Mississippi Waiver?
To qualify for the Healthier Mississippi Waiver, you must meet the following eligibility criteria:
- You must be 65 years old, or older.
- You cannot be covered by Medicare.
- You cannot be pregnant.
- If you are under 65 years old, you must be disabled using the same rules as the Supplemental Security Income (SSI) program.
Disabled children can qualify for this program. The income limit is based on the parents’ income and the number of other children in the family.
If, at any time, you do not meet the requirements as stated above, eligibility for the waiver program will end. In some cases, you may qualify for other Medicaid coverage, for example:
- If Medicare coverage begins, you will be reviewed for eligibility in a Medicare cost-sharing coverage group, or
- If you become pregnant, you will be reviewed for Medicaid eligibility for pregnant women, or
- If you enter a long-term care facility, you will be reviewed for coverage in a long term care category.
Healthier MS Waiver demonstration extension request
Pursuant to 42 C.F.R. Section 431.408, public notice is hereby given to the submission of a Medicaid proposed demonstration renewal request of the Healthier Mississippi Waiver (HMW), effective October 1, 2018, through September 30, 2023. The Division of Medicaid is requesting no changes with this renewal request. HMW has operated since 2006.
The current temporary extension of the HMW 1115 Waiver #11-W-00185/4 will expire on September 30, 2018.
Learn more by reading the HMW Demonstration Extension Request Public Notice and Draft Application.
Income and Resources
Total monthly income can be no more than 135% of the federal poverty level for an individual or couple. For couples, income is calculated using income of both members of the couple, even if only one member is applying. If any household income is from wages, the allowable income limit is higher.
Resources are assets or what you own. Resources must be below $4,000 for an individual and $6,000 for a couple. Certain types of resources are not counted toward the resource limit, these include:
- home property,
- certain property that produces income,
- up to two vehicles,
- household goods,
- personal property up to $5,000,
- life insurance up to $10,000 in face value,
- burial funds up to $6,000 if kept in a revocable form.
Resources that count include:
- money in the bank,
- the value of stocks, bonds or other investment accounts,
- the value of non- home property that does not produce income.
All State Plan services are covered for beneficiaries enrolled in the Healthier Mississippi Waiver Program, except the following:
- Long-term care services (including nursing facility, and home and community based waivers);
- Swing bed in a skilled nursing facility; and
- Maternity and newborn care.
Learn more about services on the State Plan page. If you are under the age of 21, you may be eligible for these services with an approved plan of care.
Annual Post-Award Forum
Pursuant to 42 C.F.R. Section 431.420(c), public notice is hereby given to the annual Post-Award Forum on the Division of Medicaid’s Healthier Mississippi Waiver. The annual Post-Award Forum provides stakeholders and the general public the opportunity to provide meaningful comment on the progress of the Healthier Mississippi Waiver. The Healthier Mississippi Waiver operates under the authority of an 1115(a) waiver approved by the Centers for Medicare and Medicaid Services (CMS).
The Post-Award Forum will be held from 10:00 a.m. to 11:00 a.m. on Tuesday, April 16, 2019, in room 145 at the Woolfolk Building, 501 N. West Street, Jackson, MS 39201. There will be an opportunity for public comment at the forum.
Application and approved Standard Terms and Conditions
- Healthier Mississippi Waiver Standard Terms and Conditions
- Healthier Mississippi Waiver Approved Application
- Healthier Mississippi Waiver Application renewal submitted to CMS on September 28, 2017.