Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISIONS TO QUALIFIED MEDICARE BENEFICIARY (QMB) AND SPECIFIED LOW-INCOME MEDICARE BENEFICIARY (SLMB) SECTIONS
MANUAL REVISION #18
0865.010.05.15
0865.020.10
0870.010.00
DISCUSSION:
Updates were made to sections of the MO HealthNet for the Aged, Blind, and Disabled manual regarding Qualified Medicare Beneficiary and Specified Low-Income Medicare Beneficiary eligibility.
0865.010.05.15 Part A Conditional Enrollment was updated to clarify that a participant who has a Social Security Administration (SSA) Part A Conditional Enrollment status should ONLY be approved for QMB, and should NOT be approved for SLMB or SLMB2. SLMB and SLMB2 will not pay the Medicare Part A premium for the participant.
0865.020.10 Filing a QMB Application was updated to remove outdated language and update processing information.
0870.010.00 SLMB Eligibility Requirements was updated to clarify the eligibility requirements are the same as QMB eligibility with the exception of income limits and that Part A Conditional Enrollment status is not valid Part A eligibility for the SLMB program. Policy was also updated to remove obsolete information regarding previous SLMB programs.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
KE/cj