0870.000.00 Specified Low-Income Medicare Beneficiaries (SLMB1) and Qualifying Individuals (SLMB2)

0870.010.10 Budgeting Procedures (SLMB)

Claimants must be determined ineligible for QMB before an approval for SLMB can be made. The budgeting procedures for SLMB conform to QMB budgeting procedures (refer to Section 0865.010.10.25 Completion of the QMB Budget). Use the appropriate SLMB income standard and the QMB guidelines for determination of assistance group.

After determining that the claimant’s countable income exceeds the QMB standard for household size, use the same budget figures to determine if the claimant’s countable falls below the SLMB standard. If claimant’s income is under the SLMB standard and all other eligibility factors are met, approve for appropriate SLMB group.