New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 248 - MEDICAID ELIGIBILITY - MEDICARE DRUG COVERAGE (CATEGORY 048)
Part 500 - INCOME AND RESOURCE STANDARDS
Section 8.248.500.10 - APPLICATION PROCESS

Universal Citation: 8 NM Admin Code 8.248.500.10

Current through Register Vol. 35, No. 18, September 24, 2024

The income support division (ISD) office is responsible for taking LIS applications from those individuals who do not want to submit their application to the social security administration either directly or through the ISD office.

A. Who does not have to apply: Certain groups of medicare beneficiaries who are also receiving medicaid do not have to apply for the LIS. These individuals are called "deemed eligible" and will automatically be put on the LIS:

(1) full-benefit dual eligibles, who are persons eligible for both medicare and have full medicaid benefits (including drug benefits);

(2) SSI recipients;

(3) medicare beneficiaries, who are participants in the medicare saving programs, which are: QMB, SLIMB, and QI-1;

(4) working disabled individuals (WDI) who are receiving medicare;

(5) HCBW recipients who are receiving medicare; and

(6) individuals screened for QMB, SLIMB, or QI-1 and determined eligible before the application for LIS is processed.

B. Who can apply: medicare beneficiaries who are not deemed eligible (See Paragraphs (1) through (6) above) and who insist on filing their application with the state rather than with social security administration (SSA).

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