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COMAR 10.09.24.01-.16 1630 State of Maryland Medical Assistance Manual Revised July 2012

(4) Only the individual who is identified by SSA as potentially eligible may be eligible for QDWI benefits in a QDWI assistance unit. (5) Retroactive coverage before the month of application is not available for QDWI benefits. (6) If an individual delays in applying for QDWI benefits after notification of potential QDWI eligibility by SSA, the individual may be required by SSA to pay a premium surcharge for Medicare Part A, unless the individual is covered by an employer-based group health plan. (7) Eligibility for QDWI benefits shall continue until the earliest of the following dates: (a) The end of the month after the Department:

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Official source

COMAR 10.09.24.01-.16 1630 State of Maryland Medical Assistance Manual Revised July 2012

(4) Only the individual who is identified by SSA as potentially eligible may be eligible for QDWI benefits in a QDWI assistance unit. (5) Retroactive coverage before the month of application is not available for QDWI benefits. (6) If an individual delays in applying for QDWI benefits after notification of potential QDWI eligibility by SSA, the individual may be required by SSA to pay a premium surcharge for Medicare Part A, unless the individual is covered by an employer-based group health plan. (7) Eligibility for QDWI benefits shall continue until the earliest of the following dates: (a) The end of the month after the Department:

(i)Determines that the individual is no longer eligible…#

(i) Determines that the individual is no longer eligible for QDWI benefits in accordance with this regulation; and

(ii)Sends the recipient a notice of termination at least 10…#

(ii) Sends the recipient a notice of termination at least 10 days before the effective date; (b) The end of the month before the month that the individual becomes: (i) Re-entitled to premium-free Medicare Part A; or

(ii) 65 years old;

(c) The date of death; or

(d) The end of the month following the month that the individual:

(i) Is notified by SSA that the individual no longer has a disabling impairment; or

(ii) Files a request for termination of QDWI enrollment.

.03-4 Medicare Buy-In Coverage for Medical Assistance Recipients.

A. If a recipient, who is determined federally eligible and enrolled in Medical Assistance or the Maryland Children’s Health Program according to the requirements of this chapter or COMAR 10.09.11, is entitled to hospital insurance benefits under Medicare Part A, or medical insurance benefits under Medicare Part B, or both, with or without payment of premiums, the Medical Assistance program shall provide the same coverage of Medicare savings program expenses as specified for a Qualified Medicare Beneficiary under Regulation .03-3E of this chapter.

B. A qualified recipient is automatically made eligible by the Department for the Medicare buy- in benefits effective the first day of the: