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The Medicare Improvements Patient and Providers Act of 2008 (MIPPA) mandated that, effective January 1, 2010, an application for the Medicare Low-Income Subsidy (LIS) program is considered an application for the Medicare Savings Programs (MSP), known in North Carolina as the MQB programs. Since in North Carolina, an application for MQB is considered an application for Medicaid, the county evaluates the individual for all possible Medicaid programs.
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