0865.030.00 Special Procedures for System Opening and Closing of QMB Cases – DSS Manuals

For QMB eligibles, Part B Medicare premiums are paid through regular Buy-In procedures. Since this buying-in process takes 60-90 days to complete, it is essential that there are no breaks in a claimant’s QMB eligibility. If a break does occur, the buying-in process must be started over, and the Part B premiums may not be paid for another 60-90 days. Thus, use the procedures in the following sections to ensure that breaks in QMB coverage do not occur in these situations:

0865.030.05 QMB-Only Is Approved for Another TOA

0865.030.10 QMB-Only Is Approved for Another TOA and Is No Longer Eligible for QMB

0865.030.15 QMB Eligibility Continues When Another TOA Stops