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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
5.14.8.1.1 Applications
For initial applications, QMB benefits begin on the first of the month after the month in which the individual is determined to be eligible/confirmed in CARES Client Assistance for Re-employment & Economic Support.
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Example: Mr. Smith has been in the same nursing home since 1998 and applied for MA on January 23, 2003. He also requested QMB. His application was processed for both on January 23, 2003 and he was determined eligible for both. His MA begin date is January 1, 2003. His QMB begin date is February 1, 2003. |
5.14.8.1.2 Recertifications
For recertifications, QMB benefits begin on the first of the month following review due month, regardless if the review was confirmed in the review due month or the month following the review due month.
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Example: Mrs. Jones has been receiving MA and QMB since 1998. Mrs. Jones MA/QMB was due for review February 2006. Her MA/QMB review began on February 20, 2006. The worker received verification for the review on 2/28/06. The IM worker entered verification to complete the QMB review certification March 1, 2006. Mrs. Jones’ QMB review was confirmed eligible on March 1, 2006. Mrs. Jones QMB eligibility begins March 1, 2006 and not April 1, 2006. There is no gap in Mrs. Jones’ QMB benefit. |
SLMB, SLMB+, and QDWI benefits begin on the first of the
month in which all eligibility requirements are met. They cannot begin earlier than three months prior to the month of application.
This page last updated in Release Number : 06-04
Release Date:10-23-06
Effective Date: 10-23-06