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When an a/b with income in the QI1/MQB-E range who chose to pend to meet a deductible changes their mind and requests QI1/MQB-E:

a. Process an administrative application, to deny the MAABD application.

b. Evaluate for all other Medicaid programs. This is a QI1/MQB-E application. This application may be unsigned if the a/b is not in the agency.

c. The date of application is the date the application is signed or the date the a/b requests assistance.

d. If otherwise eligible, the QI1/MQB-E certification period is based on the QI1/MQB-E month of application. However, regardless of the QI1/MQB- E date of application, QI1/MQB-E authorization can never begin earlier than the calendar month the MAABD application is denied.

3. Denied MAABD application

When an application is denied for failure to meet the deductible and the individual has income in the QI1/MQB-E range, take the following actions:

a. Evaluate the a/b is still eligible for QI1/MQB-E.

b. If so, follow instructions in 1., above.

c. If the a/b is otherwise eligible and the federal funds have not been exhausted, begin QI1/MQB-E coverage the calendar month the MAABD application is denied.

4. Ongoing QI1/MQB-E beneficiary becomes eligible for full Medicaid

When a QI1/MQB-E beneficiary has a change, which makes them eligible for full Medicaid take the following actions:

a. Evaluate for other Medicaid programs.

b. Review the case to see what the beneficiaries reserve was when it was approved for QI1/MQB-E. If it was below $2,000/3,000 and there is no change in situation affecting reserve, no further verification is required until the next review. If the reserve was greater than $2,000/3,000, verify reserve in the same manner that is done at recertification.