End Stage Renal Disease (ESRD) Medicare

What is ESRD Medicare and what assistance DHS can offer

Aged, Blind, Disabled (ABD)

Policy Links Regarding ABD

UpdatedProcess for Closing Medical (Death)

Process for closing medical on reason of death.

BIL: Buy-In History Inquiry Transaction Codes

List of transaction codes under “TRANS CODE” for BIL

BIL: Buy-In History Inquiry

How to read the BIL screen to know what is happening with a buy-in benefit.

How to Certify QI-1

QI-1 can be certified effective three months prior to the month of application, if all factors of eligibility were met all three months. For additional information regarding factors of eligibility for QI-1, refer to article ABD: Qualified Individuals – Group 1 (QI-1). If all factors of eligibility were NOT met prior to month of application, […]

Appendix C-1

Link to Appendix C-1

Income – Social Security COLA and Continued Eligibility

When the annual COLA makes a client over income, the benefit can stay open till the new standards come out.

Medicare Information

Description of the parts of Medicare and where to find more information about Medicare

Qualifying Individual (QI-1)

Qualifying Individual (QI-1) – means certain aged, blind or disabled individuals who are enrolled in Medicare Part A, meet the Medicaid Qualifying Individual income and resource standards and meet all other Medicaid eligibility requirements. When approved for QI-1, Medicaid pays for the Medicare Part B premium. A QI recipient cannot be receiving or eligible for […]