QI-1 | Quest

Income – Garnishment, Overpayment, or Deferments

Last Updated September 6, 2024

For ABD benefits, always count the gross.

Subject: Aged, Blind, Disabled (ABD) Topics: ABD, Aged, Blind, buy-in. Medicare Savings Program, Disability, Disabled, earned, garnishment, Income, Lien, Medicaid, Medical, Medicare premium, Overpayment, Paycheck, QI-1, QMBP, Qualified Medicare Beneficiary Plus, Qualifying Individual, Retirement, RSDI, Salary, SLMB, Social Security, SoonerCare, Specified Low Income Medicare Beneficiary, SSA, SSI, SSP, State Supplemental Payment, UIB, unearned, unemployment, VA, Veterans Administration

Medicaid Programs and QI-1

Last Updated February 27, 2024

Medicaid Benefits and QI-1 Explanation

Subject: Long Term Care (LTC) Topics: Advantage, Couple, HBCW, income standards, ineligible spouse, Long Term care, LTC, Medicaid, Medicaid Benefit, Medicare premium, nursing facility, Part A, Personal Care, QI, QI-1, Qualifying Individuals, Waivers

Sale of Home Proceeds and Insurance Payments & Repairs

Last Updated July 17, 2023

How are the proceeds from the sale of the home property or an insurance payment for home repairs considered in determining eligibility

Subject: Aged, Blind, Disabled (ABD) Topics: 90, ABD, Aged, Appointment, Blind, buy, carpenter, Contract, Contractor, damage, Deed, Disabled, electrician, employ, estimate, fix, hail, handyman, home, Insurance, Interview, lineup, mitigation, ninety, Payment, plan, plumber, procure, property, purchase, QI-1, QMBP, Qualified Individual – Group 1, Qualified Medicare Beneficiary Plus, remediation, repair, replace, Resource, restoration, restore, roof, Sale, Schedule, SLMB, snow, Specified Low Income Medicare Beneficiary, SSP, state, storm, supplemental, tornado, water, weather

Absence from the Home: Temporary vs Permanent

Last Updated July 17, 2023

Determining whether an absence is temporary or permanent.

Subject: Aged, Blind, Disabled (ABD) Topics: ABD, Absence, Aged, alone, Blind, camper, Care, countable, Disabled, dwelling, Exempt, feasible, fixed, health, home, hospital, house, improve, long, Medical, mobile, Nursing Home, Payment, permanent, plan, possible, primary, property, QI-1, QMBP, Qualified Individual – Group 1, Qualified Medicare Beneficiary Plus, realistic, recreational vehicle, rehabilitation, Residence, Resource, RV, Shelter, short, sick, SLMB, Specified Low Income Medicare Beneficiary, SSP, state, supplemental, temporary, time, trailer, trip, vacation, viable, visit, well

UpdatedCountable Property

Last Updated March 4, 2024

Determining the countable value of property not associated with the home property

Subject: Aged, Blind, Disabled (ABD) Topics: ABD, Aged, appraisal, Blind, countable, County Assessor, Disabled, equity, estimate, Fair Market Value, FMV, home property, Indian, knowledge, loan, Mortgage, oral, Payment, professional, property, QI-1, QMBP, Qualified Individual – Group 1, Qualified Medicare Beneficiary Plus, real estate, realtor, Residence, Resource, SLMB, specialized, Specified Low Income Medicare Beneficiary, SSP, state, supplemental, trust, written

Medical Applications & DDS Services

Last Updated February 23, 2023

Information regarding applications for medical related to DDS services

Subject: Aged, Blind, Disabled (ABD) Topics: Appendix C-1, buy-in, DDS, Developmental Disabilities Division, Home and Community Waiver Services, Income Eligibility, medical application, QI-1, QMBP, resource eligibility, SLMB, TEFRA

Updated$20 General Income Exclusion

Last Updated February 16, 2024

327:35-5-42(d)(1)and(5)(B) The General Income Exclusion (GIE) is a $20 per month income deduction. It is mostly used to bring down countable income that is barely over the standard, so the client can be eligible for a particular benefit. For QMB, SLMB and QI-1, and SPPC, the GIE can be used: First on unearned income If […]

Subject: Aged, Blind, Disabled (ABD), Programs Topics: $20, ABD, Aged, Blind, buy-in, Deduction, Disabled, dollars, earned, exclusion, FACS, general, Income, Individual, Low-Income, Medical, QI-1, QMBP, Qualified Medicare Beneficiary Plus, SLMB, Specified Low Income, SSP, standard, State Supplemental Payment block, twenty, unearned

UpdatedEnd Stage Renal Disease (ESRD) Medicare

Last Updated September 30, 2024

What is ESRD Medicare and what assistance DHS can offer

Subject: Aged, Blind, Disabled (ABD) Topics: buy-in, Certify, cover, deny, disease, End, ESRD, Medicare, Part A, Part B, pay, premium, QI-1, QI1, Qualifying Individual, renal, SLMB, Specified Low Income Medicare Beneficiary, stage

Aged, Blind, Disabled (ABD)

Last Updated March 4, 2024

Policy Links Regarding ABD

Subject: AFS Policy Topics: ABD, Aged, Blind, Categorical Relationship, Certification, Countable Income, Disabled, Medical, QI-1, QMBP, redetermination, Resources, SLMB, SoonerCare, TEFRA

UpdatedProcess for Closing Medical (Death)

Last Updated September 9, 2024

Process for closing medical on reason of death.

Subject: Aged, Blind, Disabled (ABD) Topics: ABD, Benefits, buy-in, close, Closure, Date of Death, Death, effective date, Medical, Medicare, QI-1, QMBP, Qualified Medicare Beneficiary Plus, Qualifying Individuals, SLMB, Specified Low Income Medicare Beneficiaries, SSP, State Supplemental Payment