Family and Children's Medicaid Admin. Letters
DMA ADMINISTRATIVE LETTER NO: 05-07, Medicare Buy-IN Report
DATE: July 25, 2007
SUBJECT: Medicare Buy-In Report
DISTRIBUTION: County Director of Social Services
Medicaid Staff
I. medicaid changes
A. Effective July, the Buy-In Part B Code 23 Report will no longer be forwarded to the counties. Future reports will be resolved by the Division of Medical Assistance.
B. Division of Medical Assistance is adding a new Buy-In report named “Buy-In Part B Subsystem Code 29 Exception Report and List of Actions for Buy-In Part A and Part B” to be resolved by the county.
1. This report identifies individuals who have a date of death on file with Centers for Medicare and Medicaid Services (CMS) and have an active Medicaid authorization.
2. The county caseworker must verify if the recipient is deceased. If the recipient is deceased, send an adequate notice and terminate/delete the individual. If the recipient is not deceased, contact the Claims Unit at (919) 855-4045.
3. The report will be distributed at the end of each month beginning the last week of July. The county dss will only receive the Buy-In Part B Subsystem Code 29 Exception Report and List of Actions for Buy-In Part A and Part B.
II. effective date and implementation
This policy is effective upon receipt.
If you have additional questions, please contact your Medicaid Program Representative.
(This material was researched and written by Charlotte Gibbons, Program Consultant, Medicaid Eligibility Unit.)
