Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 519.000 - MassHealth: Coverage Types
Section 519.010 - Medicare Savings Program (MSP) - Qualified Medicare Beneficiaries (QMB)
Universal Citation: 130 MA Code of Regs 130.519
Current through Register 1531, September 27, 2024
(A) Eligibility Requirements. MSP (Buy-in) QMB coverage is available to Medicare beneficiaries who
(1) are entitled to
hospital benefits under Medicare Part A;
(2) have a countable income amount (including
the income of the spouse with whom he or she lives) that is less than or equal
to 190% of the federal poverty level;
(3) Effective until February 29, 2024, have
countable assets less than or equal to two times the amount of allowable assets
for Medicare Savings Programs as identified by the Centers for Medicare and
Medicaid Services. Each calendar year, the allowable asset limits shall be made
available on MassHealth's website.
Effective March 1, 2024, MassHealth will disregard all assets or resources when determining eligibility for MSP-only benefits; and
(4) meet the universal
requirements of MassHealth benefits in accordance with 130 CMR 503.000:
Health Care Reform: MassHealth: Universal Eligibility
Requirements or 130 CMR 517.000: MassHealth:
Universal Eligibility Requirements, as
applicable.
(B) Benefits. The MassHealth agency pays for Medicare Part A and Part B premiums and for deductibles and coinsurance under Medicare Parts A and B for members who establish eligibility for MSP coverage in accordance with 130 CMR 519.010(A).
(C) Begin Date. The begin date for MSP coverage is the first day of the calendar month following the date of the MassHealth eligibility determination.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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