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1. Countable income cannot exceed 100% of the current Federal Poverty Level (FPL). This level is adjusted in April of each year.

2. Refer to MA-2260 Financial Eligibility Requirements-PLA, for current income levels.

D. Resources

Refer to MA-2260 Financial Eligibility Requirements-PLA, for countable resource limits.

III. MQB-Q SPECIAL PROGRAM REQUIREMENTS

A. Limited Coverage 1. Under the MQB-Q program Medicaid pays Medicare Part A and B premiums, deductibles, and coinsurance for charges covered by Medicare. MQB-Q does not pay toward any services which are not covered by Medicare, such as eyeglasses, and dental care.

2. MQB beneficiaries do not qualify for Non-Emergency Medical Transportation.

3. Medicare participating physicians and suppliers are required to file all Medicare claims and to accept Medicare assignment if the Medicare beneficiary is MQB eligible for dates of service.

4. MQB-Q beneficiaries receive a Medicaid card.

B. Dual Eligibility 1. The beneficiary (or couple) may meet the eligibility requirements for both MAABD and MQB-Q. This is known as dual eligibility.

2. The beneficiary must be evaluated for all Medicaid programs.

C. Application Processing Requirement 1. The application processing standard is 45 days.

2. If the applicant is not enrolled in Medicare Part A and B with SSA by the application processing standard or denied entitlement to Medicare, evaluate for all other Medicaid programs.

D. Classification The classification is “Q”, even if dually eligible.