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1. QI1/MQB-Es do not have a standard six or 12 month certification period (C.P.). The ongoing C.P. begins with the month of application for QI1/MQB- E.

2. If a QI1/MQB-E a/b subsequently becomes eligible under MAABD (or other Medicaid program), the C.P. is not based on the ongoing QI1/MQB-E C.P. The C.P. begins with the month the a/b requests assistance under the new Medicaid program.

I. Recertification

Eligibility is re-evaluated for each calendar year. Refer to IV., below for recertification procedures.

III. PROCEDURES

A. Application

1. Refer to MA-2300, Application. If an a/b/couple’s income is in the QI1/MQB-E range, compute the estimated deductible for the ongoing and retro period.

2. Evaluate whether the applicant is likely to meet their deductible based on unpaid old bills, ongoing monthly expenses, and anticipated new medical expenses. Do a separate evaluation for the ongoing and retro period and document this evaluation.

3. Explain to the applicant that they must choose between applying for QI1/MQB-E and only receiving payment of their Part B premium or applying for MAABD and pending to meet a deductible for either the retro and ongoing period. Be sure the applicant understands the benefits and effective dates for both programs.

4. Document in the case the explanation and choice of program. If the applicant applies for QI1/MQB-E, a DMA-5095, Medicaid/WF Notice of Inquiry, is not required.

B. Application Disposition

1. Refer to MA-2300, Application to disposition the QI1/MQB-E case.

2. QI1/MQB-E applications dated before November of each year and not approved until on or after November, the C.P. end on 12/31 of the current year.