0865.010.00 Eligibility Requirements

0865.010.05.20 Buy-In Eligibility for Persons in Alternative Care

IM-66 June 15, 2017

Applications are occasionally received for the buy-in programs, Qualified Medicare Beneficiaries (QMB) and Specified Low-Income Medicare Beneficiaries (SLMB) from applicants in Alternative Care through the Children’s Division. These applications should be processed as per normal procedures. However, due to the way FAMIS is designed, the application will reject because of the applicant being in Alternative Care.

Determine if the person would be eligible for the program (income, resources, and technical criteria). A trial budget should be entered on SELWIBCA. If the person is eligible, send an email request to COLE.MHNPOLICY@dss.mo.gov with subject line “Buy-In for AC Participant”. Include the applicant’s name, DCN, and which level of buy-in for which the person is eligible (QMB or SLMB1).

A return email will be sent when coverage has been entered. Send a manual approval letter (IM-32) to the applicant.