|
|
Wisconsin Department of Health and Family Services |
|
|
Wisconsin Department of Health and Family Services |
Occasionally, the benefits of a person who is eligible for QMB did not begin on the first of the following month as they were supposed to. This can occur if:
The eligibility process was not completed within 30 days.
Certification of eligibility was not completed.
A fair hearing decision has ordered backdated
QMB benefits.
To backdate QMB benefit, complete an HCF 10110 (formerly DES 3070) certification form and return to:
Mail: EDS
P.O. Box 7636
Madison, WI 53707
E-mail: eds_3070@dhfs.state.wi.us
Benefits can be backdated for up to three months prior to the month of application. Use the backdating guidelines given in the Introduction to the MA Handbook, page 9.
A person who would have been eligible as a QMB in the backdate period cannot receive backdated SLMB, SLMB+, or QDWI benefits.
|
Example: Henry Schoolcraft applied for QMB on June 15, 1996. He also requested backdated SLMB. His income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. for June 1996 was under the QMB limit (100% of the federal poverty level). He was determined eligible for QMB. But his request for backdated SLMB was denied because his income, in the backdate months of March, April, and May, 1996, was under the QMB limit (100% of the FPL).
If he had applied for QMB in those months, he would have been QMB eligible. Therefore, since he would have been QMB eligible in the backdate period, he cannot receive backdated SLMB benefits. |
This page last updated in Release Number : 03-02
Release Date : 04/01/03
Effective Date : 04/01/03
