048-18 Wyo. Code R. §§ 18-11 - Medicare Savings Programs
(a) Qualified
Medicare Beneficiary (QMB). Medicaid shall assist individuals eligible for QMB
with paying their Medicare premiums, cost sharing and deductibles, as specified
in Sections 1902(a)(10)(E)(i) and 1905(p)(1) of the Social Security Act.
Individuals shall meet the following eligibility requirements:
(i) Entitled to Medicare .
(ii) Countable income shall be equal to or
less than one hundred percent (100%) of the Federal Poverty Level
(FPL).
(iii) Countable resources
shall not exceed three (3) times the SSI resource limit, as adjusted annually
by the increase in the consumer price index.
(b) Specified Low-Income Medicare Beneficiary
(SLMB). Medicaid shall assist individuals eligible for SLMB with paying their
Medicare Part B premium, as specified in Section 1902(a)(10)(E)(iii) of the
Social Security Act. Individuals shall meet the following eligibility
requirements:
(i) Entitled to
Medicare .
(ii) Countable income
shall be more than one hundred percent (100%) of the FPL but less than or equal
to one hundred twenty percent (120%) of the FPL.
(iii) Countable resources shall not exceed
three (3) times the SSI resource limit, as adjusted annually by the increase in
the consumer price index.
(c) Qualified Individual (QI). Medicaid can
assist eligible individuals with paying their Medicare premiums, as specified
in Section 1902(a)(10)(E)(iv) of the Social Security Act. Individuals shall
meet the following eligibility requirements:
(i) Entitled to Medicare .
(ii) Countable income shall be more than one
hundred twenty percent (120%) of the FPL but less than or equal to one hundred
thirty-five percent (135%) of the FPL.
(iii) Countable resources shall not exceed
three (3) times the SSI resource limit, as adjusted annually by the increase in
the consumer price index.
(d) Eligibility shall be re-determined by the
Department every twelve (12) months for all groups within this
section.
(e) Individuals shall be
responsible for reporting to the Department any changes in the following:
(i) Income;
(ii) Resources;
(iii) Household size;
(iv) Health insurance; and
(v) Address.
Notes
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