Page 4

BEM 165 4 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

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

central office Buy-In Unit at MSA will contact the field office to ask that a determination of the recipient's eligibility for MSP during that timeframe be completed and to update the case record to add the MSP coverage if the recipient is eligible. MEDICARE SAVINGS PROGRAMS COVERAGE BEGIN DATES

QMB Begin Date Begin QMB coverage the calendar month after the processing month. The processing month is the month during which an eligibility determination is made. QMB is not available for past months or the processing month. SLMB Begin Date SLMB coverage is available for retro MA months and later months. Note: SLMB is only available for months income exceeds the QMB limit. A person cannot choose SLMB in place of QMB in order for coverage to start sooner (example, to get retro MA). ALMB Begin Date ALMB coverage is available for retro MA months and later months; however, not for time in a previous calendar year. ALMB and Previous Year Limit Do not approve ALMB for any month that is in a previous calendar year, even if application was made in the previous calendar year. Application was made December 27, 2015. Eligibility was determined on January 3, 2016. ALMB cannot be approved for any time before January 1, 2016. NMB Begin Date NMB coverage is available for retro MA months and later months.

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Page 4

Official source

BEM 165 4 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

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

central office Buy-In Unit at MSA will contact the field office to ask that a determination of the recipient's eligibility for MSP during that timeframe be completed and to update the case record to add the MSP coverage if the recipient is eligible. MEDICARE SAVINGS PROGRAMS COVERAGE BEGIN DATES

QMB Begin Date Begin QMB coverage the calendar month after the processing month. The processing month is the month during which an eligibility determination is made. QMB is not available for past months or the processing month. SLMB Begin Date SLMB coverage is available for retro MA months and later months. Note: SLMB is only available for months income exceeds the QMB limit. A person cannot choose SLMB in place of QMB in order for coverage to start sooner (example, to get retro MA). ALMB Begin Date ALMB coverage is available for retro MA months and later months; however, not for time in a previous calendar year. ALMB and Previous Year Limit Do not approve ALMB for any month that is in a previous calendar year, even if application was made in the previous calendar year. Application was made December 27, 2015. Eligibility was determined on January 3, 2016. ALMB cannot be approved for any time before January 1, 2016. NMB Begin Date NMB coverage is available for retro MA months and later months.