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West Virginia Income Maintenance Manual Chapter 23
West Virginia Income Maintenance Manual Page iv Chapter 23 Specific Medicaid Requirements
23.12 MEDICARE PREMIUM SUBSIDIES ...........................................................................52 23.12.1 QUALIFIED MEDICARE BENEFICIARIES (QMB) ...............................................52 23.12.1.A Medical ID Card Issuance .............................................................................53 23.12.1.B Period of Eligibility ........................................................................................53 23.12.1.C Reimbursement of Medicare Premium Amount .............................................53 23.12.1.D Changes to Buy-In Status .............................................................................53 23.12.1.E Nursing Facility Services ...............................................................................54 23.12.2 SPECIFIED LOW-INCOME MEDICARE BENEFICIARIES (SLIMB) ....................54 23.12.2.A Medical ID Card Issuance .............................................................................54 23.12.2.B Period of Eligibility ........................................................................................55 23.12.2.C Reimbursement of Medicare Premium Amount .............................................55 23.12.2.D Changes in Buy-In Status .............................................................................55 23.12.2.E Nursing Facility Services ...............................................................................56 23.12.3 QUALIFIED INDIVIDUAL (QI) ..............................................................................56 23.12.3.A Medical ID Card Issuance .............................................................................57 23.12.3.B Period of Eligibility ........................................................................................57 23.12.3.C Reimbursement of Medicare Premium Amount .............................................57 23.12.3.D Changes in Buy-In Status .............................................................................57 23.12.3.E Nursing Facility Services ...............................................................................57 23.12.4 QUALIFIED DISABLED WORKING INDIVIDUALS (QDWI) .................................58 23.13 NON-QUALIFIED NONCITIZENS – EMERGENCY COVERAGE ...............................59 23.14 NON-MEDICAID HEALTH PROGRAMS ....................................................................60 23.14.1 WV CHILDREN’S HEALTH INSURANCE PROGRAM (WVCHIP) .......................60 23.14.2 PHARMACY PROGRAMS ...................................................................................60 23.14.2.A AIDS DRUG ASSISTANCE PROGRAM (ADAP) ..........................................60 23.14.2.B Special Pharmacy .........................................................................................61 APPENDIX A: GUIDE TO TRANSITIONAL MEDICAID ...........................................................62