A How to Process Conditional QMB Applications

Program

Manual Section

MSP

MA1305

 

Procedures

1) Review the customer’s WTPY or SOLQI response. Conditional Part A enrollment is verified when:

2) Process the QMB eligibility in HEAplus. If eligible, approve QMB prospectively, but no earlier than the Part A entitlement date listed on the WTPY or SOLQI.

 

When Medicare Part A is not posted on the RP150 screen or SOLQI for Part A, send a referral to request the Buy-In for Medicare part A coverage be posted in PMMIS.