0865.020.15.05 QMB-Only Approvals – DSS Manuals

Take the following steps to approve a case as QMB only:

Approve the QMB case under the “Q” type of assistance using case action “08” in field 5 of the IM-5/IMU5.

Show QMB eligibility with an entry of “Y” in field 13M1, and the beginning date of eligibility in field 13M2. REMEMBER – THE BEGINNING DATE OF QMB ELIGIBILITY CANNOT PRECEDE THE FIRST OF THE MONTH FOLLOWING THE MONTH YOU MAKE THE DETERMINATION. NOTE: The month of determination is the month eligibility is established, regardless of when the IMU5 transaction is entered.

Complete the rest of the form as for any other approval, except make no entry for Title XIX Eligibility Date or Level of Care.

Send form IM-32(QMB) to the claimant to provide notice of approval as a QMB recipient.

Send a copy of the IM-4(QMB).