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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |115 Effective Month: September 2018 -Disabled & entitled to disability benefits for 24 months. The 24-month waiting period is waived for certain disabling conditions. -Insured individuals, their spouse or child with End Stage Renal Disease on renal dialysis or received a kidney transplant. -Federal employees who have earned QC’s to insure them for Part A. 102.13.02 MEDICAID PAYMENT OF MEDICARE PART A AND PART B COST- SHARING EXPENSES The Division of Medicaid pays the following Medicare expenses for all recipients with Medicare Part A and Part B as follows: • The Medicare Part B premium is paid for all recipients with Part B who are eligible for full Medicaid, regardless of income level. • The Medicare Part B premium is paid for those eligible in a Medicare Cost- Sharing category of QMB, SLMB or QI. NOTE: QMB, SLMB and QI require that the individual have Medicare Part A in addition to Part B. • Medicare Part A and Part B deductibles and coinsurance (20%) and co- payments, if applicable, are paid for recipients with full Medicaid and for QMB- only recipients. NOTE: Medicaid is not required to pay these charges if the cost exceeds what Medicaid would pay for such service for a non-dual recipient (someone without Medicare coverage). The provider is not allowed to balance bill the recipient for the difference. o Deductibles are fixed dollar amounts that an individual must pay out of pocket before the costs of services are covered. o Co-insurance is a percentage of the cost of services.