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

0870.030.15 QMB Recipient Is Determined SLMB Eligible at Approval for Another Type of Assistance

  • Register an application for SLMB using procedures previously outlined in this memorandum.
  • Approve the other type of assistance using regular IMU5 procedures.
  • Enter “L” in Field 13M1 of the other type of assistance, and the following month in Field 13M2 as the begin date for SLMB.
  • The system will automatically close the “Q” case, and reject the SLMB application, producing a “Q” TOA turnaround with case action 29C, and an “L” TOA turnaround with case action 20C.
    • The approval turnaround for the other type of assistance will indicate SLMB eligibility as “L” in Field 13M1 and the SLMB begin date in Field 13M2.

      NOTE: Groups 2 and 3 are not eligible with another type of assistance.