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10/01/02
Qualifying Individuals (QI1s/MQB-E) are individuals who would be eligible for MQB-B except that their income is between 120 - 135% of the federal poverty limit. QI1s are also referred to as MQB-E.
Although eligibility regulations and benefits for QI1/MQB-E are the same as for MQB-B, the law mandates differences from the current MQB-B:
• It is a capped entitlement. Funding is based on a fixed allocation at 100% Federal Financial Participation (ffp) through December of the current calendar year.
• Approval is based on a first-come, first-served basis. When the number of QI1/MQB-E cases reach the capped allotment, DMA will provide statewide notice to no longer approve applications for QI1/MQB-E.
• There is no six month or 12 month certification period. Depending on the date the QI1/MQB-E application is taken, the certification period ends on December 31 of the current calendar year or December 31 of the next calendar year.
• QI1/MQB-Es cannot be otherwise eligible or dually eligible for Medicaid in any other aid program/category.
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For questions or clarification on any of the policy contained in these manuals, please contact your local county office. |
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