MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual

0865.030.00 SPECIAL PROCEDURES FOR SYSTEM OPENING AND CLOSING OF QMB CASES

For QMB eligibles, Part B Medicare premiums are paid through regular Buy-In procedures. Since this buying-in process takes 60-90 days to complete, it is essential that there are no breaks in a claimant’s QMB eligibility. If a break does occur, the buying-in process must be started over, and the Part B premiums may not be paid for another 60-90 days. Thus, use the procedures in the following sections to ensure that breaks in QMB coverage do not occur in these situations:

  • “QMB-only” is approved for another TOA
  • “QMB-only” is approved for another TOA, and is no longer eligible for QMB
  • QMB eligibility continues when another TOA stops