Qualified Medicare Beneficiary Plus | Quest

UpdatedSSI Recipients and Countable Income

Last Updated October 31, 2025

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 June 20, 2025

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

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

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

Updated$20 General Income Exclusion

Last Updated December 2, 2025

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, 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

Process for Closing Medical (Death)

Last Updated December 27, 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

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 […]

Subject: Aged, Blind, Disabled (ABD) Topics: ABD, Absent, Adult, Blind, block, Child Support, Children, countable, current, delinquent, Disabled, FACS, father, Income, Medical, Minor, mother, Parent, parents, QMBP, Qualified Medicare Beneficiary Plus, siblings, SSI, SSP, State Supplemental Payment, unearned