Topic: SLMB
Process regarding Disability-Related Medical and Pregnancy
Policy Links Regarding ABD
List of transaction codes under “TRANS CODE” for BIL
How to read the BIL screen to know what is happening with a buy-in benefit.
The coding to certify a case in FACS for SLMB
Link to Appendix C-1
When the annual COLA makes a client over income, the benefit can stay open till the new standards come out.
What is Buy-In? “Buy-in” is the procedure whereby the Oklahoma Health Care Authority (OHCA) pays the client’s Medicare premium through the Centers for Medicare & Medicaid Services (CMS). DHS determines eligibility and oversees operation of Buy-in Program CMS oversees Medicare program Social Security Administration (SSA) enrolls people in Medicare The Buy-in programs are QMB, SLMB […]
Buy-In Process Flowchart Buy-in is certified (QMB, SLMB, or QI-1) and OKDHS sends Buy-In (accretion) requests to CMS in Baltimore, MD. Client must be on Medicare, or going on the next month, before a Buy-In benefit can be coded on the case. If a worker adds a client to a buy-in benefit when the client […]