Page 2

1. initial enrollment period outlined above, or 2. Part D open enrollment period; November 15 through December 31 of each year (for enrollment in the following year). To qualify for Medicare Part D, a beneficiary must be entitled to and enrolled in Medicare Part A and/or Part B. Medicaid applicants who did not enroll in Medicare Part A and/or B during the initial enrollment period may receive Medicaid coverage provided they enroll in Medicare during the next open enrollment period. Medicaid applicants who did not enroll in Medicare Part D may be automatically enrolled within two months of Medicaid approval. VETERANS ADMINISTRATION REFERRALS: Veteran’s benefits may be available to: 1. An honorably discharged veteran; 2. A widow(er) of a wartime veteran; 3. A widow(er) of a veteran who died or was killed while on active duty, or as a result of a service related disability; 4. An individual who is not currently married but was married to a wartime veteran who died of non-service related disability; 5. An individual that is not currently married but who was married to a veteran who died or was killed while on active duty, or as a result of a service related disability; 6. An individual less than 23 years of age who is a child of a deceased veteran; 7. A parent of a veteran who died while on active duty, or as a result of a service related disability. AND the individual: 1. has a service related disability; 2. is totally disabled because of a non-service related disability; 3. is age 65 or older; or 4. needs in-home, residential, hospital, or nursing home care. Effective Date: July 01, 2016