QMBP | Quest

One Third Reduction Rule

Last Updated February 23, 2023

Instructions regarding One Third Reduction Rule for Someone Living with Another Household

Subject: Aged, Blind, Disabled (ABD), Long Term Care (LTC) Topics: ABD, Advantage, categorically needy, Countable Income, Eligibility, federal need standard, Food, In-Kind, Income, LTC, Medicaid Income Pension Trust, MIPT, One Third Rule, QMBP, Shelter, SLMB, SSI Standard, SSP, Unearned Income

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

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, the GIE can be used on unearned or earned income but never […]

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

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

UpdatedAged, Blind, Disabled (ABD)

Last Updated October 12, 2022

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 March 10, 2023

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

How to Consider & Code Child Support for ABD-Related Benefits

Last Updated March 4, 2019

For ABD-related benefits, child support is generally considered income for the child rather than the parent. If the child support payment is for more than one child, divide the amount received by the number of children for whom it is intended. Example: Martha is applying for ABD benefits for herself and her son John. Her […]