QMBP | Quest

SSI Recipients and Countable Income

Last Updated August 10, 2026

Count only the income showing on the SDX screen

Subject: Aged, Blind, Disabled (ABD), Programs Topics: ABD, Aged, Blind, block, coding, countable, deemed, Disabled, divert, earned, Eligibility, enter, FACS, Income, Medicaid, Medical, Other, Parent, QMBP, Qualified Medicare Beneficiary Plus, RSDI, SDX, SoonerCare, Spouse, SSI, SSP, State Supplemental Payment, supplemental security income, unearned

Case Numbering Tips – ABD

Last Updated August 12, 2026

Tips for Creating Cases for Medical Benefits

Subject: Aged, Blind, Disabled (ABD), Programs Topics: buy-in, Case numbers, creating cases, prefix, QI-1, QMBP, Qualified Medicare Beneficiary Plus, SLMB, SSP, State Supplemental Payment, TANF benefit

Income – Garnishment, Overpayment, Deferments, or Suspension Status

Last Updated August 21, 2025

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

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

UpdatedAbsence from the Home: Temporary vs Permanent

Last Updated May 4, 2026

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

Resource – Countable Property

Last Updated August 21, 2025

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 Rule and Case Examples

Last Updated August 3, 2026

Examples & coding regarding the General Income Exclusion

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

Disability Due to Death

Last Updated September 22, 2022

Determining Category Relationship due to Death and FACS Coding

Subject: Aged, Blind, Disabled (ABD) Topics: 3 months, ambulance, Categorical Relationship, Death, deceased, Disability, hospital, Medicaid, QMBP, Qualified Medicare Beneficiary Plus, treatment

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

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Topic: QMBP