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3480.00.00 BUY-IN PROCEDURES AND EFFECTIVE DATES (MED) Buy-In is the process by which the state pays the Medicare premium for Medicaid recipients. For money grant recipients, the Medicare Part B Buy-In effective date is determined as follows: Recipients are considered to be money grant recipients if they receive all or any part of their monthly income from any of the following sources: • SSI (Supplemental Security Income) • TANF (Temporary Assistance for Needy Families) • RBA (Room and Board Assistance). The Part B Buy-In effective date for money grant recipients, regardless of QMB status, is the latest of the following dates: • Medicaid effective date • Medicare effective date • Money-grant effective date. For non-money grant recipients, Medicare Part B Buy-In effective date is determined as follows: • For new Medicaid AGs, the Part B Buy-In effective date for non-money grant, non-QMB recipients is the second month following the month in which the worker authorized the recipient's Medicaid eligibility. Example: On 10/5 Ann Smith is determined eligible for Medicaid retroactive to 6/1. She began receiving Medicare on 5/1. Part B Buy-In effective date is 12/1, the first day of the second month following the month in which her Medicaid eligibility was authorized. For new, non-money grant, QMB recipients, the Part B Buy-In effective date is the QMB effective date established by IEDSS (Indiana Eligibility Determination Services System). For a continuing Medicaid AG, the Part B Buy-In effective date is the first of the month in which the Medicaid recipient's Medicare eligibility begins, regardless of the money grant or QMB status. For SLMB and QI recipients, the effective date of Medicare Part B Buy-In is the date of eligibility for SLMB or QI. It will be no earlier than the first of the third month prior to the month of application.