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QI-1 A Medicare beneficiary whose income is at least 120 percent of the Federal Poverty Level (FPL) but less than the 135 percent of the FPL and whose resources are no more than twice the SSI resource standard. Such an individual is eligible for Medicare Part B premium only. QI-1s are not eligible for retroactive coverage, and there are no spend-down provisions for them. (Note that effective July 1, 2005, there are no QI-1 eligible customers, since the QM and SLMB income limits have been increased to include these customers.) Qualified Disabled Working Individual (QDWI) A disabled, employed individual who lost access to free Medicaid Part A benefits due to their return to work whose income does not exceed 200 percent of the Federal Poverty Level (FPL) and whose resources are no more than twice the SSI resource standard. Medicaid pays the Medicare Part A premiums only for these individuals. Qualified Medicare Beneficiary (QMB) A Medicare beneficiary whose income does not exceed 150 percent of the Federal Poverty Level (FPL) and whose resources do not exceed twice the Supplemental Security Income (SSI) resource standard. QMBs are not eligible for retroactive coverage nor for the month of application. There are no spend-down provisions for them. R
Recertification The scheduled redetermination of MA or FS eligibility. If eligibility for MA or FS is not recertified prior to the end of the certification period, benefits are terminated. Benefits may not be terminated if the group was not given an opportunity to recertify eligibility. Recipient An individual who receives benefits. Refugee A person determined by the Immigration and Naturalization Service (INS) to be unable to return to their country of origin because of fear of persecution. Refugee Cash Assistance A program that provides case assistance to certain immigrants ineligible for TANF and SSI. Refugee Medical Assistance Program that provides Medical Assistance to certain immigrants in their first eight months in the country. Rental Vender Payment A restricted TANF benefit paid directly to a landlord. A TANF recipient can request such an arrangement or can be required to enter into such an arrangement. Removal of Needs When an adult fails to comply with TANF requirements, s/he is disqualified from the unit and his/her "needs" are removed when determining continued eligibility and benefit level. That is, the individual's income and resources are counted, but the individual is not counted when determining the household size and maximum benefit level.