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Q-2000, Qualified Medicare Beneficiaries (QMB) – MC-QMB
... meets the requirements of this section. A person getting Medicaid may also get QMB benefits if the person meets the ... , Qualified Disabled and Working Individuals (QDWI) – MC-QDWI. A person's QMB eligibility begins on the first day ... A at the time of the QMB determination. The person is a Medicaid recipient or QMB or Specified Low-Income Medicare ...

Form H2067-MC, Managed Care Programs Communication
  Instructions Updated: 9/2017   Purpose Form H2067-MC is the primary communication tool for Program Support Unit ... form according to the retention requirements found in all Medicaid managed care contracts and federal regulations. MCOs ... applicant/member the PSU or MCO is communicating about. Medicaid No . — Enter the applicant's/member's Medicaid ...

Q-6000, Qualified Disabled and Working Individuals (QDWI) –MC-QDWI
... Disabled and Working Individuals (QDWI) Program – MC-QDWI. To be eligible for QDWI coverage, a person must: be ... Medicare Part A; not otherwise certified under any other Medicaid-funded program; have a monthly income equal to or ... Part A premiums. A person cannot be eligible for regular Medicaid and QDWI coverage at the same time. The person does ...

Q-3000, Specified Low-Income Medicare Beneficiaries (SLMB) – MC-SLMB
... who meets the requirements for SLMB. A person receiving Medicaid may also receive SLMB benefits. To be eligible for ... Q-2000 , Qualified Medicare Beneficiaries (QMB) – MC-QMB, except the person must have an income that is greater ... Effective December 1, 2009   For SLMB -eligible persons, Medicaid pays only Medicare Part B premiums. However, ...

Medicaid and CHIP - Contact Us
Contacts for Clients Questions about Medicaid Managed Care Call the Medicaid client hotline at 800-252-8263 or visit the Managed ... Texas Health and Human Services Commission 701 W. 51st St. MC W206 Austin, Texas 78751 888-388-6332 or 512-438-4313 TTY ...

A-800, Medicaid Eligibility
... October 1, 2016   Medical Programs Applicants may receive Medicaid during the three-month period before the month they apply for Medicaid. See A-831 , Three Months Prior Coverage, for ... (MEPD) Medicare Savings Program types of assistance, MC – QMB (TP 24) or MC – SLMB (TP 23), if they meet the ...

A-5000, Texas Medicaid Hospice Program
... 18-1; Effective March 1, 2018   Persons eligible for full Medicaid benefits may elect to participate in the Texas Medicaid Hospice Program if they have a medical prognosis of ... Aged Widow(er)). Persons whose only eligibility is MC-SLMB, MC-QMB and MC-QDWI may not participate in the Texas ...

Medicaid for the Elderly and People with Disabilities Handbook
... A-2100 Supplemental Security Income (SSI) A-2200 Emergency Medicaid Coverage for Aliens A-2300 RSDI Cost of Living ... Home Living (TxHmL) A-3380 STAR+PLUS Waiver (SPW) A-3400 Medicaid Buy-In for Children (MBIC) A-3500 Medicaid Buy-In ... Section Q-2000 Qualified Medicare Beneficiaries (QMB) – MC-QMB Q-2000 Qualified Medicare Beneficiaries (QMB) – ...

Form 1333, Medicaid Xenical Prior Authorization Addendum
... to Prepare This form is only used for people enrolled in Medicaid fee-for-service. Requests must be signed and ... .   Detailed Instructions Staff sends the form to the Medicaid-enrolled pharmacy, who then forwards the completed ... Transmittal Fax: 512-491-1962 Mail: Vendor Drug Program (MC-2250) Texas Health and Human Services 4900 North Lamar ...

Form 1331, Medicaid Xenical Clinic Prior Authorization
... to Prepare This form is only used for people enrolled in Medicaid fee-for-service. Requests must be signed and ...   Detailed Instructions Staff sends the form to the Medicaid-enrolled pharmacy, who then forwards the completed ... Transmittal Fax: 512-491-1962 Mail: Vendor Drug Program (MC-2250) Texas Health and Human Services 4900 North Lamar ...