0865.000.00 Qualified Medicare Beneficiaries (QMB)

0865.030.10 QMB-Only Is Approved for Another TOA and Is No Longer Eligible for QMB

When a QMB recipient is found to be ineligible for QMB at the time of approval for another type of assistance, enter an “N” in field 13M1 of the IMU5 of the new case. Make no entry in field 13M2 for this situation. The system automatically closes the QMB case when it opens the other type of assistance. A QMB turnaround IM-5 is generated with a closing code of “29C” and a reason for closing of “39”. NOTE: When taking this type of action, regular IM-80 procedures apply.