2911.3 Buy-In Effective Date

The following establish the effective date of buy-in coverage:

The buy-in coverage period is determined by the calendar month of medical assistance eligibility.

For beneficiaries of SSI or State Supplement or the buy-in coverage period begins the first day of the month that cash eligibility begins. Buy-in coverage is continuous for an individual who loses eligibility for SSI or State Supplement, but whose eligibility continues without interruption.

For medical only beneficiaries not QMB or LMB eligible, or not previously on Kansas buy-in, buy-in coverage begins the first day of the month following two consecutive months of eligibility for medical assistance, providing that there is medical eligibility on the first day of the third month. The first and third months of medical eligibility do not have to be full months. This also applies to ongoing recipients.

Ongoing medical only recipients who become entitled to Medicare are eligible for buy-in following two consecutive months of mutual Medicare entitlement and Medicaid eligibility.

For QMB/LMB eligibles, buy-in coverage (including coverage of Part A premiums) begins the first month of eligibility. In addition, for QWD eligibles, coverage of Part A premiums is effective with the month of application.

For individuals previously on Kansas buy-in and whose case is reopened, buy-in coverage begins the first day of the month of eligibility.

State submitted accretions (enrollments) may be adjusted to a different beginning date by SSA. Such conditions may be when: SSA records show that the individual does not meet all the requirements for Part B coverage on the requested accretion date. The accretion date submitted falls in the middle of a period of buy-in coverage for another state on SSA's records.

For persons meeting one or more of the above criteria, the earliest possible effective date is used.