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UPDATED: JUNE 2011

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OTHER ELIGIBILITY REQUIREMENTS APPLICATION, CERTIFICATION AND RENEWAL

MEDICARE PART D LOW INCOME SUBSIDY APPLICATION

Description: Low income individuals not enrolled in Medicaid or in one of the Medicare Savings Programs (QMB, SLIMB, QI) who wish to have assistance paying Medicare Part D monthly premiums, deductibles and co-payments must apply for the federal Low Income Subsidy (LIS) Program.

Policy: Applications for LIS may be made with the Social Security Administration. Applicants may call the Social Security Administration or apply online at www.socialsecurity.gov. Applicants may receive assistance from the local Office for the Aging.

References: SSL Sect. 366-2 (b) (1)

ADMs 05 OMM/ADM-5

GISs

06 MA/003

05 MA/024

Interpretation: Individuals who apply for Medicaid or Medicare Savings and are found eligible will automatically be enrolled in Low Income Subsidy (LIS).

(MRG)