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been met.

(3) That the applicant/beneficiary is eligible for coverage of other Medicaid covered services only.

2. A Deductible a. For the applicant:

(1) Send the DHB-5099/5099s, Your Application for Medicaid is Pending for a Deductible, when all other eligibility requirements are met.

(2) If the deductible cannot be met, deny the application, following procedures in MA-2300, Application, for deductible cases. b. For the beneficiary: (1) Certify the case in deductible status and notify the beneficiary, the representative, and the facility of the deductible amount and the need for medical bills. (2) Terminate at the end of the certification period if the deductible is not met. XIV. MEDICARE COVERAGE From time to time, the caseworker may need to know information about Medicare benefits. The material below explains some of the Medicare benefits. A. Approved Medicare SNF Care In A Nursing Facility 1. Medicare Part A may cover nursing home costs for a limited period of time if the care meets Medicare SNF requirements. Contact the facility to confirm Part A coverage. a. There is no co-payment for the first 20 days of Medicare approved SNF care. b. There are daily co-payments for the 21st through the 100th day of Medicare approved Medicare SNF. (See Table B for amounts.) 2. Medicaid will pay the Medicaid per diem rate less any Medicare payment but no more than the Medicare coinsurance amount.

B. Medicare Hospitalization Benefits 1. Hospitalization benefit period a. Begins when the individual enters for the first time: (1) A general hospital (2) A nursing home where they are Medicare approved for SNF care b. A new benefit period begins 60 continuous days after discharge from Docusign Envelope ID: 950E9248-29CC-8930-81BC-BCEC667EB493