Adult Medicaid Manual MA-2130 QUALIFIED MEDICARE BENEFICIARIES-Q

II. MQB-Q ELIGIBILITY REGULATIONS FOR NON-SSI RECIPIENTS

A. Meet all eligibility criteria in MA-2000, Non-SSI Eligibility Regulations, and

B. Be Enrolled in Medicare (Part A and/or B.

[Refer to MA-2410, Buy-In, for an explanation of Medicare enrollment procedures]

MQB-Q applicants who are already enrolled in Medicare Part B do not have to apply for Medicare Part A. Verify Medicare coverage by seeing one of the following:

1. SOLQ or TPQY (This is the most accurate)

2. The Medicare card

3. BENDEX (Part B is SMI entitlement and Part A is HIB entitlement)

4. EOB - Explanation of Benefits

C. Income

Countable income cannot exceed 100% of the current Federal Poverty Level (FPL) for an individual or couple. This level is adjusted in April of each year.

Refer to MA-2260, Financial Eligibility Regulations/PLA, for current income levels.

D. Resources

Countable resource limits:

Individual - $6,940

Couple - $10,410

Refer to MA-2260, Financial Eligibility Regulations/PLA.

REISSUED 01/01/12 – CHANGE NO. 02-12

For questions or clarification on any of the policy contained in these manuals, please contact your local county office.