Adult Medicaid Manual MA-2140 QUALIFIED MEDICARE BENEFICIARIES-B

II. MQB-B ELIGIBILITY REQUIREMENTS

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

B. Medicare

Enrolled in Medicare Part A and has an RSDI claim number or Railroad Retirement number. Verify Medicare coverage by checking one of the following:

1. On Line Verification (OLV) system for SOLQ. For Railroad Retirement benefit verification, contact the Railroad Retirement Board at 1-800-808-0772, or online at www.rrb.gov and select “Benefit Online Services.”

2. The Medicare Card

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

4. Medicare EOB (Explanation of Benefits)

NOTE: An individual whose Medicare suffix is “M” is not eligible for free Part A. Additionally, a person under age 65 should not have Medicare suffix “M.” Always verify that the suffix is correct and that the individual is enrolled in Part A.

C. Ineligible for MQB-Q

Meets all MQB-Q financial eligibility criteria except that income exceeds 100% federal poverty limit (FPL).

D. Income

Must have countable monthly income greater than 100% and not to exceed 120% of the federal poverty limit.

Refer to MA-2260, Eligibility Requirements-PLA, for current MQB-B income levels.

REVISED 01/01/11 – CHANGE NO. 02-11

(II.)

E. Resources

Countable resource limits:

Individual - $6,680

Couple - $10,020