- TO:
- ALL COUNTY OFFICES
- FROM:
- ALYSON CAMPBELL, DIRECTOR
- SUBJECT:
- APPLICATION FOR MEDICARE SAVINGS FOR QUALIFIED BENEFICIARIES / SPECIFIED LOW INCOME BENEFICIARIES (IM-1QMB/SLMB) AND MEDICARE SAVINGS FOR QUALIFIED BENEFICIARIES/ SPECIFIED LOW INCOME BENEFICIARIES REVIEW (IM-2QMB/SLMB REVIEW) FORMS
- FORMS MANUAL REVISION #21
DISCUSSION:
The purpose of this memo is to introduce the revised Missouri Application for Medicare Savings for Qualified Beneficiaries / Specified Low-Income Beneficiaries (IM-1QMB/SLMB) and the Missouri Medicare Savings for Qualified Beneficiaries / Specified Low-Income Review (IM-2QMB/SLMB Review) forms. These forms have been revised to simplify the application and review process for MO HealthNet applicants and participants.
These forms have been revised as follows:
- Estate recovery notification was removed as the Medicare Improvements for Patients and Providers Act of 2008 eliminated the estate recovery requirement for Qualified Medicare Beneficiary and Specified Low Income Medicare Beneficiary programs effective January 1, 2010.
- Information on accessing applications through the Department of Social Services Internet and Family Support Division Information Center (FSD INFO) was added.
- Instructions to call the FSD INFO Center to report changes were added.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
- Immediately begin using the revised Missouri Application for Medicare Savings for Qualified Beneficiaries (IM-1QMB) and the Missouri Medicare Savings for Qualified Beneficiaries Review (IM-2QMB/SLMB Review).
- The PDF and WORD versions of the forms have been updated in the Forms Manual on the Intranet and additional supplies may be ordered through the Warehouse. Replace all previous versions.
AC/mks