Page 155

CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

155 11. QMB benefits are not retroactive and the three month retroactive Medical Assistance rule does not apply to QMB benefits. 12. Members who would lose their QMB entitlement due to annual social security COLA will remain eligible for QMB coverage under Medical Assistance, as income disregard cases, until the next year's federal poverty guidelines are published. 8.100.6.M. Specified Low Income Medicare Beneficiaries 1. Medical Assistance coverage for SLMB clients is limited to payment of monthly Medicare Part B (Supplemental Medical Insurance Benefits) premiums. 2. Effective January 1, 1993, a Specified Low Income Medicare Beneficiary (SLMB) is an individual who: a. is entitled to Medicare Part A; b. resources may not exceed the standard for an individual or couple who has resources as described in section 8.100.5.M of this volume. c. has income at or below a percentage of the federal poverty level for the family size as mandated by federal regulations for SLMB. Income limits have been defined through CY 1995, as follows: CY 1993 and 1994 100- 110% of FPL, CY 1995 100-120% of FPL. 3. For SLMB purposes, couples shall have their income compared against the federal poverty level couples income maximum. This procedure shall be applied whether one or both members apply for SLMB. 4. For SLMB purposes, income of the applicant and/or the spouse shall be determined as described under Income Requirements in section 8.100.5. If two or more individuals have earned income, the income of all the individuals shall be added together and the $65 plus one half remainder earned income disregard shall be applied to the total amount of earned income. 5. SLMB eligibility starts on the date of application or up to three month prior to the application date for retroactive Medical Assistance.