0865.000.00 Qualified Medicare Beneficiaries (QMB)

0865.020.15 Application Procedures

All regular IM application procedures apply. The use of the IM-1 and IM-2 or IM-1MA, TPL information and availability of fair hearings is the same as for any other adult Medicaid program. Instruct the client to complete pages 1-7 of the IM-2.

QMB coverage can be requested alone or in combination with other types of assistance. Following are approval situations, which occur with the QMB program. These procedures were developed to ensure accurate statistics on worker production and QMB eligibles. Carefully follow these procedures as appropriate for QMB-only and QMB/combination applications.