2672.2 Expanded LMB

The Expanded LMB program is also known as the Qualifying Individual 1 (QI-1) program. Expanded LMB is for those individuals with income between 120 and 135% of poverty. The Part B premium for this group is subject to 100% federal funding based on federal law.

Persons are only eligible for Expanded LMB if they are not otherwise Medicaid eligible, or attempting to gain Medicaid eligibility. However, once established, an individual eligible for Expanded LMB can later seek full Medicaid if such a need arises. For example, if the individual applies for HCBS and is approved for services, Expanded LMB coverage should be closed as soon as possible given timely notice deadlines. Prior medical coverage may also be provided in these instances.