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North Carolina Department of Health and Human Services North Carolina Medicaid Division of Health Benefits AGED, BLIND AND DISABLED MEDICAID MANUAL MA-2140

QUALIFIED MEDICARE BENEFICIARIES - B

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REVISED 12/03/2018 – CHANGE NO. 06-18

Current Change Notice: 06-18 • The Qualified Medicare Beneficiaries policies have been revised in the online Adult Medicaid Manual in the following section: MA-2140, Qualified Medicare Beneficiaries - B

I. QUALIFIED MEDICARE BENEFICIARIES - B

An applicant who is enrolled in Medicare Part A, and has income greater than100% and equal to or less than 120% of poverty is eligible for the state to buy-in payment of the Medicare Part B premium. Buy-in is effective the month of authorization with “B” Medicaid classification. No additional benefits are provided under this program. No Medicaid card will be issued to beneficiaries authorized for MQB-B. The beneficiary may meet the eligibility requirements for both MAABD and MQB-B.

II. MQB-B ELIGIBILITY REQUIREMENTS

A. Meet all Financial/Non-financial eligibility requirements.

B. Medicare

Enrolled in Medicare Part A and has an RSDI claim number or Railroad Retirement number. Verify Medicare coverage by checking one of the following:

1. OVS

2. For Railroad Retirement benefit verification, contact the Railroad Retirement Board at 1-800-808-0772, or online at https://www.rrb.gov and select “Benefit Online Services.”

3. The Medicare Card

4. Bendex (Part B is SMI entitlement and Part A is HIB entitlement)

5. Medicare EOB (Explanation of Benefits)

6. Inmates of public institutions are not eligible for Medicare.

C. Ineligible for MQB-Q