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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |117 Effective Month: July 2025 apply for Medicare, confirm with SSA the outcome of the Medicare application and document the case record. This can usually be done via a SVES response. Listed below are all the conditions that apply regarding applying and accepting Medicare Parts A and B and instructions for handling each condition. NO MEDICARE BUT ELIGIBLE FOR FREE PART A FOR ALL COE’S AND INCOME LEVELS If applicant/recipient (A/R) has: • No Medicare but is potentially eligible • Not previously applied for Medicare & states no Medicare application is pending • Access to free Medicare Part A (through work history of self/spouse) A/R can apply and accept both Part A and Part B of Medicare, but this cannot be required as a condition of eligibility. Medicaid will pay all associated Medicare expenses that are part of the COE in which they are eligible (will only pay Part B or Part B-ID premium for SLMB and QI). If applicant/recipient applies for Medicare, verify Medicare entitlement and effective dates of coverage and evaluate any impact Medicare has on Medicaid eligibility, i.e., ensure the A/R is in or is transferred to a COE that allows Medicare coverage, if otherwise eligible. • If A/R is in COE-045, must transfer to QMB, SLMB or QI as appropriate after advance notice. • If A/R is eligible for free Part A at a future date, such as when an insured spouse reaches Medicare entitlement age, set appropriate alerts to follow up on the Medicare application requirement. NOTE: The vast majority of Medicaid applicants and recipients are eligible for free Part A due to their own work history or access to free Part A through an insured worker. In the following conditions described below, determine income to be at/below 100% FPL or above 100% FPL by using countable income at the budget level for MAGI and ABD cases (at-home and institutional). NO MEDICARE – NOT ELIGIBLE FOR FREE PART A HANDLE ACCORDING TO INCOME LEVEL AND COE If A/R has: • No Medicare but is potentially eligible