To continue QI-1 when spenddown is ending:

  1. Send client Form 157 that says medical is ending.
    1. 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). 

  2. Complete Form 552, making needed information changes.
    1. Delete Item 80 spenddown code 390 and code 392.
    2. Change QMB status indicator in Item 60 to 7.
    3. 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.
    4. Reenter Item 60 HIB and SMIB status indicator codes and dates as they previously appeared.