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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |125 Effective Month: July 2025 7. Medicare eligible applicants who do not qualify for Medicaid and Medicaid/Medicare recipients who become ineligible for Medicaid may still qualify for the LIS if income is below 150% FPL. SSA takes and processes these applications. DOM sends and receives daily drug files from CMS that contains Medicare information. DOM uses this file to get Medicare entitlement information. It is used by CMS to auto-enroll a Medicaid recipient into a Part D plan and to dis-enroll Medicaid recipients from the LIS program when Medicaid eligibility ends. Duals generally qualify for the LIS for an entire calendar year or remainder of a year when Medicaid eligibility ends. 102.13.06 SSA OUTREACH TO LOW-INCOME MEDICARE BENEFICIARIES SSA is required by federal statute to conduct outreach to low-income Medicare beneficiaries regarding assistance programs available through Medicaid to assist with their Medicare cost-sharing expenses, which includes the Medicare Savings Programs (MSP referring to the QMB, SLMB and QI coverage groups) and LIS (Extra Help) that will assist with their Medicare Part D pharmacy expenses. Letters are issued annually, during the month of May, to Medicare beneficiaries who appear to have income less than 135% FPL, but SSA records do not show that the person has eligibility for either the LIS or MSP. The letters inform Medicare recipients of the following: • The current income limit that is equal to 135% FPL, • The resource limit for Medicare cost sharing programs (not applicable to MS), • Contact phone numbers for the individual to get additional information. These numbers include the 1-800-MEDICARE number, the Medicare website for contact numbers for each state’s Medicaid agency and the number for the local SHIP (State Health Insurance Assistance Program) for assistance in applying for MSP. Medicaid offices may have an increase in telephone calls and/or walk-ins having questions about the letters from SSA. If the individual has previously applied and an application is pending, make the appropriate explanations that no further action is necessary. If an application is needed, provide the ABD application form and offer assistance as needed to get the application process started. Keep in mind that an