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The conditions of eligibility for the Medicare Savings Program (MSP) are:
Valid application (MA533);
Resident of Arizona (MA531);
Social Security number (MA532);
US citizen (MA507) or appropriate noncitizen status (MA524);
Assignment of rights to medical benefits and cooperation (QMB only) (MA503); and
Income at or below QMB, SLMB or QI-1 requirements (MA615.3, MA615.4 and MA615.5).
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Term |
Definition |
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Medicare Savings Program (MSP) |
The MSP provides help with Medicare expenses for customers who are entitled to Medicare Part A. NOTE There is no categorical element (i.e., aged, blind or disabled) requirement for the MSP. Persons with End Stage Renal Disease (ESRD) can be eligible, provided they have Medicare Part A. The MSP offers the following programs:
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Qualified Medicare Beneficiary (QMB) |
For customers who:
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Specified Low-Income Medicare Beneficiary (SLMB) |
For customers who:
NOTE To be eligible for SLMB, a person does not have to be receiving Medicare Part B. If the person is not enrolled in Medicare Part B at the time of the SLMB application, refer to How to Process Applications for Medicare Savings Program for People Who Do Not Have Medicare Part B. |
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Qualified Individual-1 (QI-1) |
For customers who:
NOTE To be eligible for QI-1, a person does not have to be receiving Medicare Part B. If the person is not enrolled in Medicare Part B at the time of the QI-1 application, refer to How to Process Applications for Medicare Savings Program for People Who Do Not Have Medicare Part B. |
Customers eligible for the Medicare Savings Program (MSP) receive the Medicare Savings Program Service Package (MA302).
Customers approved for coverage under the Medicare Savings Program (MSP) are enrolled as follows:
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If the customer is... |
Then the customer is enrolled in... |
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QMB |
Fee-for-Service (FFS) |
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AHCCCS Complete Care (ACC) plan |
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QMB and:
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Program Contractor |
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SLMB |
Not enrolled |
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AHCCCS Complete Care (ACC) plan |
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Dual SLMB and AHCCCS Freedom to Work – ALTCS |
Program Contractor |
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QI-1 NOTE An individual cannot be eligible for QI-1 and any other Medical Assistance program. |
Not enrolled |
AHCCCS does not charge MSP customers. MSP customers who are not QMBs are responsible for paying to their health care provider:
Medicare co-payments;
Medicare deductibles; or
Medicare co-insurance.
This requirement applies to the following programs:
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Program |
Legal Authorities |
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Medicare Savings Program (MSP) |
42 USC 1396a(a)(10)(E) Title 36, Chapter 29, Article 3 of the ARS Title 9, Chapter 29 of the AAC |