Page 156

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

156 6. Eligibility may be made retroactive up to 90 days, but may not be effective prior to 1/1/93. 7. Clients who would lose their SLMB entitlement due to annual SSA COLA will remain eligible for SLMB coverage, as income disregard cases, through the month following the month in which the annual federal poverty levels (FPL) update is published. 8.100.6.N. Medicare Qualifying Individuals 1 (QI1) 1. Medical Assistance coverage is limited to monthly payment of Medicare Part B premiums. Payment of the premium shall be made by the Department on behalf of the individual. 2. Eligibility for this benefit is limited by the availability of the allocation set by CMS. Once the state allocation is met, no further benefits under this category shall be paid and a waiting list of eligible individuals shall be maintained. 3. Eligibility for QI1 benefits shall be effective the month in which application is made and the individual is eligible for benefits. Eligibility may be retroactive up to three months from the date of application, but not prior to January 1, 1998. 4. In order to qualify as a Medicare Qualifying Individual 1, the individual must meet the following: a. be entitled to Part A of Medicare, b. income of at least 120%, but less than 135% of the FPL. c. resources may not exceed the standard as described in section 8.100.5.M, and d. he/she cannot otherwise be eligible for Medical Assistance. 5. For QI1 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.