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M-1310 MBI and Home and Community-Based Services Waivers
Revision 16-2; Effective June 1, 2016
If a person is currently eligible for Medicaid Buy-In (MBI) and requests waiver services, the Long-Term Services and Supports (LTSS) programs (such as STAR+PLUS Waiver) do not require a change in Medicaid type program for payment of services. Do not do a program transfer for ME-Waivers.
Do not calculate a copay for individuals who are MBI-eligible and receive waivers services. A person is not subject to a financial copay unless financial eligibility is determined using the 300% of Supplemental Security Income, Special Income Group limit, e.g., ME-Waivers.
M-1320 MBI and Medicare Savings Programs
Revision 11-4; Effective December 1, 2011
An MBI-eligible applicant/recipient can also have:
- Qualified Medicare Beneficiary (QMB)
- Specified Low-Income Medicare Beneficiary (SLMB)
An MBI-eligible applicant/recipient cannot have:
- Qualifying Individuals-1 (QI-1). The applicant/recipient must choose between MBI and QI-1.
- Qualified Disabled Working Individuals
Note: Deeming of income and resources and support and maintenance applies to the Medicare Savings Program.