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In addition, individuals eligible for MA in December 1973 based on disability, blindness, status as an essential person, or institutionalization continue to be eligible for MA provided they have continued to meet the December 1973 criteria.
QM: N/A
DISABLED ADULT CHILDREN 1.10
AR: N/A AX: N/A SR: Persons who meet the following criteria are eligible for MA coverage:
at least 18 years old and have received SSI benefits on the basis of blindness or disability, become entitled to Social Security child's benefits or an increase in such benefits on the basis of a disability that began prior to age 22, and cease to be eligible for their SSI benefits because of the Social Security benefits.
QM: N/A
QUALIFIED MEDICARE BENEFICIARIES (QMB) 1.11
AR: N/A AX: N/A SR: N/A QM: Certain Medicare beneficiaries, including persons receiving Title II benefits (Social Security), are eligible for Medicaid as QMBs. Coverage as a QMB means Medicaid will pay the following:
Medicare Part A deductible, Medicare Part B annual deductible, Medicare Part B premium, and Medicare Part B annual copayments.
A QMB is an individual:
who is entitled to Medicare Part A (hospital insurance), including voluntary enrollment; whose income does not exceed 300 percent of the FPL; and who meets the non-financial eligibility requirements of the MA program (see Part IV: Non-Financial Eligibility).
Income eligibility is determined using SR methodologies.
Note that effective November 1, 2008, there is no asset limit for QMB.
Persons applying for eligibility as QMBs cannot spend-down income to meet QMB eligibility requirements.