Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-504 - Certification periods and change of circumstance
Section 182-504-0025 - Medicare savings program certification periods

Universal Citation: WA Admin Code 182-504-0025
Current through Register Vol. 24-18, September 15, 2024

Certification periods for the different kinds of medicare savings programs are not all the same. The chart below explains the differences.

Medicare Savings Program

Certification Period

Start Date

QMB (qualified medicare beneficiary)

S03

12 months

On the first day of the month following QMB eligibility determination

SLMB (Special low income medicare beneficiary)

S05

12 months

Up to three months prior to the certification period if on the first day of the first month of certification, the person:

Is or has been enrolled in medicare Part B; and

Meets SLMB eligibility requirements.

QDWI (Qualified disabled working individual)

S04

12 months

Up to three months prior to the certification period if on the first day of the first month of certification, the person:

Is or has been enrolled in medicare Part A; and

Meets QDWI eligibility requirements.

QI-1 (Qualified individual)

S06

Thru the end of the calendar year following QI-1 eligibility determination

Up to three months prior to the certification period if on the first day of the first month of certification, the person:

Is or has been enrolled in medicare Part B; and

Meets QI-1 eligibility requirements.

11-24-018, recodified as WAC 182-504-0025, filed 11/29/11, effective 12/1/11. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.530 and 42 U.S.C. 1396 a(a) (Section 1902(n)(2) of the Social Security Act of 1924). 05-01-126, § 388-416-0035, filed 12/15/04, effective 1/15/05. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, § 388-416-0035, filed 7/31/98, effective 9/1/98. Formerly WAC 388-521-2150, 388-521-2155 and 388-521-2160.

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