To continue QI-1 when spenddown is ending:
- Send client Form 157 that says medical is ending.
- Add the following statement after the box checked "medical assistance".
You will continue to receive assistance with payment of Medicare Part B SMIB premiums as a Qualified Individual (QI-1).
- Complete Form 552, making needed information changes.
- Delete Item 80 spenddown code 390 and code 392.
- Change QMB status indicator in Item 60 to 7.
- Enter QI-1 effective date (MM/YY) following code QMB in Item 60. Use effective MM/YY of Spenddown cancellation to start QI-1 benefits without a break.
- Reenter Item 60 HIB and SMIB status indicator codes and dates as they previously appeared.