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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MAABD MEDICARE BENEFICIARIES (Cont’d) Covers only Medicare Part B premiums Must be currently enrolled or eligible for Medicare Part A QI1 QI3 QI9 Qualified Individual (QI) Net income between 120% ­ 135% of FPL Resources <$9,430 for individuals <$14,130 for couples Not eligible for medical assistance under another Medicaid category Medicaid card is not issued for this program Coverage starts application month Prior medical is available Cannot be pregnant QD3 QD9 Qualified Disabled Working Individual (QDWI) Net income <200% of FPL Resources <$4,000 for individuals <$6000 for couples Covers only Medicare Part A premiums Must be under age 65 Must meet Social Security’s disability criteria Not eligible for medical assistance under another Medicaid category Medicaid card is not issued for this program Coverage starts application month Prior medical is available Cannot be pregnant APPENDIX A INCOME RESOURCE CHARTS Division of Social Services Medical Assistance Manual 25 July MTL 06/25 MAABD MEDICARE BENEFICIARIES (CONT’D)