Coordination of Dual Eligible Services
The recipient will be Mandatory.
The recipient will be Voluntary.
The recipient will be Excluded.
The recipient will not be eligible.
Inform the recipient that QMB means they are covered by Medicare, not Medicaid. Refer to Medicare.
Inform the recipient that QMB is a cost-sharing program that will have Medicaid cover the Medicare premiums, deductibles, and coinsurance.
Inform the recipient that QMB isn’t a real eligibility. Refer to DCF/SSA to change their eligibility to Mandatory to enroll into an MMA plan.
Inform the recipient that QMB is a program that covers more than MMA plans for recipients who are Dual Eligible.
The recipient will be Mandatory.
The recipient will be Voluntary.
The recipient will be Excluded.
The recipient will not be eligible.
Advise the recipient that it is because everyone with Medicare has QMB through Medicaid.
Refer the recipient to the AHCA Medicaid Helpline for more information on QMB Eligibility.
Advise the recipient it is because they do not make enough money to enroll into an MMA plan.
Refer the recipient to DCF for more information on QMB Eligibility.
Refer the recipient to Medicare to see which MMA plans work with their Medicare plan.
Advise the recipient it doesn't matter which MMA plan they choose, because they all work the same regardless of which Medicare plan they have.
Refer the recipient to the MMA plans to see which one works with their Medicare plan.
Refer the recipient to the AHCA Medicaid Helpline to see which MMA plan works with their Medicare Plan.
The recipient will be Mandatory.
The recipient will be Voluntary.
The recipient will be Excluded.
The recipient will not be eligible.
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