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and processed on February 23, and he is no longer eligible for SLMB. The effective date of the SLMB termination is April 1. 32.10.4 SLMB, SLMB+, QDWI Changes in Circumstance While a change is circumstance is being processed, SLMB, SLMB+, or QDWI benefits are maintained until the redetermination is completed. If timely verification is received and all other eligibility requirements are met, there should be no gap in MSP coverage, even if the member changes MSP categories. If timely verification is received and the member is no longer eligible, or if verification is not received, MSP eligibility ends based on the following: • Eligibility redetermined before adverse action, closure is effective the first of the following month. • Eligibility redetermined after adverse action, closure is effective the first of the month after the following month. 32.10.5 Program Choice While a renewal or a change in circumstance is being processed, the benefits that were open during the month of the change are maintained into the following month until the redetermination is completed. If a member receives full-benefit Medicaid that is maintained while a renewal or change is being processed, but is determined no longer eligible for full-benefit Medicaid (but is eligible for SLMB+), SLMB+ eligibility must be determined for the months when full-benefit coverage was maintained. See MEH SECTION 3.1.5 PROGRAM CHANGES AT RENEWAL and MEH SECTION 3.3.3 PROGRAM CHANGES. This page last updated in Release Number: 26-01 Release Date: 02/13/2026 Effective Date: 02/13/2026 32.11 Medicare Beneficiaries Adversely Affected When a member is found eligible for one of the MSP programs and the state pays their Part B premium, they can no longer use the premium payment as an expense. This may result in the member experiencing a reduction in benefits (for example, FoodShare may decrease) or an increase in a premium, cost share, or patient liability (for themselves or a community spouse). Additionally, members eligible for SLMB+ cannot have any other form of Medicaid. When a person would be adversely affected, they may choose to opt out of MSP eligibility. If their MSP eligibility is SLMB+ and they have other Medicaid benefits, they will need to choose between either losing their full-benefit Medicaid coverage and keeping free Medicare Part B enrollment (through SLMB+) or losing free Medicare Part B enrollment and keeping their full-benefit Medicaid coverage (see Process Help Section 12.16.4 Manual Updates to MSP on ForwardHealth interChange). This page last updated in Release Number: 23-02 Release Date: 04/17/2023 Effective Date: 04/17/2023