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

0870.020.10 Processing SLMB Applications

SLMB applications are identified as ā€œLā€ type of assistance. They are further distinguished from QMB’s by and indicator in Field 13M1. Use the following indicators in Field 13M1.

L – indicates eligibility for SLMB group 1

2 – indicates eligibility for SLMB group 2

3 – indicates eligibility for SLMB group 3

N – indicates eligibility for neither program

Field 13M2 is unchanged. Continue to use Field 13M2 to indicate the beginning date of eligibility for the program identified in Field 13M1.

When 13M2 is unchanged. Continue to use Field 13M2 to indicate the beginning date of eligibility for the program identified in Field 13M1.

When a claimant requests an application for SLMB or QMB, take an application for both. Remember: A claimant must be ineligible for QMB to be approved for the SLMB program. Always take application for both SLMB and QMB if the claimant requests either program.

Determine eligibility for SLMB assistance as instructed above. All regular IM application procedures, such as the use of the IM-1, IM-2, and IM-3, and availability of administrative hearings apply.

SLMB applications may be taken in conjunction with any other type of assistance. To process a SLMB approval, use on of the following procedures:

NOTE: SLMB groups 2 and 3 application CAN NOT be approved in conjunction with any other type of assistance providing Medicaid. An online edit will occur if an individual(s) is active on another type of assistance.