PM 06-12-01: QMB Eligibility

WAG 06-12-01.

To be eligible for QMB a person must:

• be a current Medicare Part A beneficiary;
• meet nonfinancial Medicaid eligibility requirements:
  • Social Security number,
  • citizenship,
  • residency, and
  • assignment of medical support rights;
• have income at or below 100% of the Federal Poverty Level; and
• have nonexempt assets less than the QMB asset standard (see PM 06-12-01-a).

NOTE: A person recently enrolled in Part A coverage is not considered a QMB until the first month they actually receive Part A coverage.

Persons who are age 22 through 64, and who reside in DHS facilities which are not covered settings, are not eligible for QMB benefits.