32.4 Specified Low-Income Medicare Beneficiary Plus (SLMB+)

32.4.1 SLMB+ Introduction

To be eligible for SLMBSpecified Low-Income Medicare Beneficiary + the person must:

Meet non-financial Medicaid requirements.
Be receiving Medicare Part A.
Have been determined ineligible for MA (including Community Waivers, BadgerCare Plus, QMBQualified Medicare Beneficiary , SLMB, and QDWIQualified Disabled and Working Individual). Consider a person with an unmet deductible ineligible for MA until he or she meets the deductible.

32.4.2 SLMB+ Income Limit

SLMB+ income must be at least 120% of the FPLFederal Poverty Level, but less than 135%. See 39.5 FPL Table.

Calculate SLMB+ net income in the same way as QMB net income including the temporary disregardAn amount not counted when determining a person's total net income. of the annual COLAcost-of-living adjustment. An increase in income to compensate for inflation. increase.(See 32.2.2 QMB Income Limit).

Since enrollment for the SLMB+ program is not automated in CARES, it must be determined and managed manually by local agencies. See Process Help 61.6 SLMB+ Processing.

This page last updated in Release Number: 09-05

Release Date: 11/16/09

Effective Date: 11/16/09

The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030