Revision 24-3; Effective Sept. 1, 2024

Low-income Medicare beneficiaries may be eligible for the Qualified Medicare Beneficiary (QMB) program.

QMB provides coverage for Medicare-related expenses, including Medicare premiums, copays, deductibles and coinsurance.

A person may be eligible for Medicaid or Community Attendant Services program and QMB at the same time.

SSI recipients with Medicare are eligible for QMB.

Automated System Program Identifier
TIERS – MC-QMB

Related Policy

MSPs and Medicare Part B-ID, Q-1500
Qualified Medicare Beneficiaries, Q-2000

Revision 24-3; Effective Sept. 1, 2024

Low-income Medicare beneficiaries with income above the QMB limit, more than 100% but less than 120% of the federal poverty level, may be eligible for the Specified Low-Income Medicare Beneficiary (SLMB) program.

SLMB provides coverage for Medicare Part B premiums.

A person may be eligible for certain Medicaid programs or the Community Attendant Services program and SLMB at the same time.

Automated System Program Identifier
TIERS – MC-SLMB

Related Policy

MSPs and Medicare Part B-ID, Q-1500
Specified Low-Income Medicare Beneficiaries, Q-3000
SLMB Eligibility and Other Programs, Q-3500

Revision 24-3; Effective Sept. 1, 2024

Low-income Medicare beneficiaries with income more than 120% but less than 135% of the federal poverty level may be eligible for the Qualifying Individual (QI) program.

QI-1 provides coverage for the Medicare Part B premiums.

Note: A person cannot be certified for QI-1 and any other Medicaid-funded program at the same time.

Automated System Program Identifier

TIERS – MC-QI-1

Related Policy

MSPs and Medicare Part B-ID, Q-1500

Qualifying Individuals (QIs), Q-5000

Revision 14-2; Effective June 1, 2014

Persons eligible for this program do not receive regular Medicaid benefits and must be disabled working individuals entitled to Medicare Part A (hospital coverage). Medicaid will pay the Medicare Part A premiums for QDWIs. These persons must be entitled to enroll in Medicare Part A, not otherwise certified under any other Medicaid-funded program, have countable income of no more than 200% of the federal poverty guidelines, have countable resources of no more than twice the SSI resource limit and be referred by SSA (Public Law 101-239, OBRA 1989). For more information on the QDWI program, see Section Q-6000, Qualified Disabled and Working Individuals (QDWI) – MC-QDWI.

Automated System Program Identifier

TIERS – MC-QDWI