C How to Process Applications for Medicare Savings Program for People Who Do Not Have Medicare Part B

Program	Manual Section
MSP	MA1305

Take the following steps when a customer is eligible for SLMB or QI-1 but does not have Medicare part B:

NOTE This procedure does not apply to QMB.

Step	Action
1	Approve the Medicare Savings Program if the customer meets all eligibility factors. NOTE The decision notice will tell the customer to call AHCCCS or contact Social Security to add Medicare part B. If the customer does not call AHCCCS or add Medicare part B, they will have open eligibility without any payment.
2	If the customer contacts you to add Medicare Part B, explain that he or she will be responsible for the Part B premium if MSP eligibility is discontinued in the future. If this happens: Social Security will automatically deduct the Part B premium from the customer’s Social Security benefit; and The first payment deducted from the customer’s Social Security may be for multiple months’ premiums.
3	Does the customer still want MSP? If YES, continue to step 4 If NO, discontinue the MSP using “Voluntary Withdrawal Immediate” as the disposition reason.
4	Send a referral to request the Medicare part B coverage to be updated in PMMIS. Elevate to Eligibility Support Systems (ESS) using the DMPS-ESS@azahcccs.gov mailbox
5	Enter the details of the customer’s request and your conversation with the customer in case notes.