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BEM 165 10 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

MEDICARE PART A Answer the Medicare Part A question on SSI-related MA in Bridges based on the following: • 1- Receiving Medicare Part A with no premium being charged. • 2- Refused premium-free Medicare Part A. Claim number suffix is M1. • 3- Entitled to buy Medicare Part A. The Social Security Administration calls this Premium HI. Claim number suffix is M. Enter countable RSDI for the month being tested. The RSDI cost- of-living increase for fiscal group members will be deducted automatically if the month being tested is January, February or March. Enter the person’s claim number on the Recipient Information Screen when it is requested. It will then be printed on any memo generated for the Buy-In coordinator. APPLICATION FOR MEDICARE Verification of application for Medicare is by self-attestation. NOTIFICATION Email the beneficiary information to the Buy-in Coordinator at Buyinunit@michigan.gov when retro buy-in has been approved and indicate retro buy-in in the subject line. LEGAL BASE Social Security Act sections: • 1902(a)(10)(E)(i) for QMB. • 1902(a)(10)(E)(iii) for SLMB. • 1902(a)(10)(E)(iv) for ALMB. • 1902(r)(2). • 1905(a) for retro MA. • 1933 for ALMB funding.

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Page 10

Official source

BEM 165 10 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

MEDICARE PART A Answer the Medicare Part A question on SSI-related MA in Bridges based on the following: • 1- Receiving Medicare Part A with no premium being charged. • 2- Refused premium-free Medicare Part A. Claim number suffix is M1. • 3- Entitled to buy Medicare Part A. The Social Security Administration calls this Premium HI. Claim number suffix is M. Enter countable RSDI for the month being tested. The RSDI cost- of-living increase for fiscal group members will be deducted automatically if the month being tested is January, February or March. Enter the person’s claim number on the Recipient Information Screen when it is requested. It will then be printed on any memo generated for the Buy-In coordinator. APPLICATION FOR MEDICARE Verification of application for Medicare is by self-attestation. NOTIFICATION Email the beneficiary information to the Buy-in Coordinator at Buyinunit@michigan.gov when retro buy-in has been approved and indicate retro buy-in in the subject line. LEGAL BASE Social Security Act sections: • 1902(a)(10)(E)(i) for QMB. • 1902(a)(10)(E)(iii) for SLMB. • 1902(a)(10)(E)(iv) for ALMB. • 1902(r)(2). • 1905(a) for retro MA. • 1933 for ALMB funding.