0870.030.00 System Approvals and Closings of SLMB Cases – DSS Manuals

As Medicare Part B premiums for SLMB eligibles are paid through the regular Buy-In procedure, the initial process takes 60-90 days to complete. It is then necessary to ensure the continuity of SLMB eligibility to avoid breaks in the Part B premium payment. Thus, as in the QMB program, SLMB cases are automatically opened and closed to accommodate this continuity. Use the procedures in the following sections to ensure that breaks in SLMB coverage do not occur in these situations::

SLMB Group 1 is Approved for Another Type of Assistance

SLMB Recipient is Determined Ineligible at Approval of Another Type of Assistance

QMB Recipient is Determined SLMB Eligible at Approval for Another Type of Assistance

SLMB Eligibility Continues, Other Type of Assistance Closes