UpdatedQualified Medicare Beneficiaries Plus (QMBP)

Qualified Medicare Beneficiaries Plus (QMBP) – means certain aged, blind or disabled individuals who may or may not be enrolled in Medicare Part A, meet the Medicaid QMBP income and resource standards and meet all other Medicaid eligibility requirements.  When approved for QMBP, Medicaid pays for Medicare premiums, deductibles, and co-insurance.  Policy regarding this term […]

UpdatedSkilled Care Overview

Policy 317:35-19-19 Skilled care can be provided in a nursing facility and/or hospital if they have the staff and services, and are licensed, to provide the skilled care. Care that can be provided by non-professional staff is not considered to be skilled care. Only Persons enrolled in Medicare Part A are eligible for payment for […]

Qualified Individuals – Group 1 (QI-1)

Definition of QI-1

Specified Low Income Medicare Beneficiary (SLMB)

Specified Low-Income Medicare Beneficiary (SLMB) 317:35-7-43 Program to pay Medicare Part B premiums for those whose income is above the QMBP standard. Person must be enrolled in Part A Medicare and paying any associated fees if they have them Persons on one of the LTC medical programs (ADvantage, Nursing Home, DDS) can also be eligible […]