32.7 Medicare Savings Programs Begin Dates

32.7.1 QMB Begin Dates

32.7.1.1 QMB Applications

For initial applications, QMBQualified Medicare Beneficiary benefits begin on the first of the month after the month in which the individual is determined to be eligible/confirmed in CARES.

Example 1: Henry has been in the same nursing home since 2004 and applied for MA on January 23, 2008. He also requested QMB. His application was processed for both on January 23, 2008 and he was determined eligible for both. His MA begin date is January 1, 2008. His QMB begin date is February 1, 2008.

32.7.1.2 QMB Recertifications

For recertifications, QMB benefits begin on the first of the month following the review due month, regardless if the review was confirmed in the review due month or the month following the review due month.

Example 2: Diamond has been receiving MA and QMB since 2004. Her Medicaid/QMB was due for review February 2006. Her Medicaid/QMB review began on February 20, 2006. The worker received verification for the review on 2/28/06. The IMincome maintenance worker entered verification to complete the QMB review certification March 1, 2006. Her QMB review was confirmed eligible on March 1, 2006. QMB eligibility begins March 1, 2006 and not April 1, 2006. There is no gap in her QMB benefit.

32.7.2 SLMB, SLMB+,QDWI Begin Dates

SLMBSpecified Low-Income Medicare Beneficiary , SLMB+, and QDWIQualified Disabled and Working Individual 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: 14-01

Release Date: 06/10/2015

Effective Date: 06/10/2015

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