7 AAC 100.756 - Special low-income Medicare beneficiary qualifying individual

(a) To be eligible as a special low-income Medicare beneficiary qualifying individual under 7 AAC 100.002(e) (4), an individual must

(1) be eligible for and enrolled in Medicare Part A hospitalization coverage;

(2) have total monthly income that does not exceed 135 percent of the federal poverty guidelines for this state, adopted by reference in 7 AAC 100.980;

(3) have countable resources that do not exceed $4,000 for an individual living alone or $6,000 for spouses living together; and

(4) meet all other nonfinancial eligibility requirements under 7 AAC 100.400.

(b) Coverage for an individual eligible under this section is limited to payment of the individual's Medicare Part B premiums.

(c) An individual that the department determines is eligible under this section may apply for up to three months of retroactive eligibility under 7 AAC 100.072, but retroactive eligibility is not available for any month before January 1 of the year in which the individual applies for retroactive eligibility.

(d) The department will provide coverage under this eligibility category until the department reaches the annual spending limit established under 42 U.S.C. 1396u-3. If the department reaches the spending limit under 42 U.S.C. 1396u-3 before the end of a calendar year, the department will stop determining eligibility under this eligibility category, but will instead determine eligibility under 7 AAC 100.754.

Notes

7 AAC 100.756

Eff. 7/20/2007, Register 183

Authority:AS 47.05.010

AS 47.07.020

AS 47.07.040