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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 171 Chapter 1 Application/Redetermination Process

When an individual applies for LIS prescription drug assistance at the SSA and expresses an interest in MPA, he is considered to have made an application for QMB/SLIMB/QI-1 on that date. 1.16.3 WHO MUST SIGN? The applicant(s) for QMB, SLIMB or QI-1 or his authorized representative must sign the application. 1.16.4 CONTENT OF THE INTERVIEW An interview is not routinely required, but when an interview is conducted, the interview requirements in Section 1.2 are applicable. The following must be discussed with the applicant(s) if an interview is conducted: • The client may receive a refund of Medicare premiums from SSA after QMB, SLIMB, or QI-1 approval. • Medicare Buy-In for QMB does not begin until the calendar month after approval of the application. The Department does not begin to pay his Medicare deductible, co- insurance and premiums until the following month. • Medicare Buy-In for SLIMB and QI-1 may be backdated up to three months prior to the month of application, if eligibility is established. • SLIMB and QI-1 recipients do not receive a Medical ID card. • Individuals dually eligible for QMB and Medically Needy cases with a spenddown may receive more than one approval notice with their Medical ID card enclosed. • QMB recipients are eligible for payment of co-insurance and deductibles for nursing facility costs without a contribution. See Chapter 24.

EXCEPTION: When the LIS application date is prior to the beginning date of coverage in the active MPA AG, backdated eligibility must be considered and provided if applicable.