ABD Coverage Groups
This person's claim number would end in a "W" or "D". They would be a previous recipient of SSI, not yet 65 years of age, and not eligible for Medicare.
What is DWB (Disabled Widow Beneficiary)?
Acronym for ABD?
Aged, Blind, or Disabled.
These are the ABD (Community MA) Coverage Group(s) / Track(s)
What is S track?
This is what we call the first test of eligibility
*Hint* It could be known as two things.
Non-Financial Eligibility/Technical Factors.
A period of time a non-citizen must be in the United States as a qualified immigrant before they may be eligible for Medicaid.
What is the 5 Year Bar?
This covers medicare premiums, coinsurance, and deductibles. It starts the month after all verifications are provided.
What is QMB (Qualified Medicare Beneficiaries)?
The time that we are evaluating income and resources to determine eligibility for Medical Assistance.
What is the Consideration Period?
This is the Foster Care Coverage Group(s) / Track(s)
What is E track (E01, E02, E03, and E04)?
This is what we call the second test of eligibility.
What is Financial Eligibility?
This is one way to verify if someone has a qualified alien status in E & E.
What is enter information from their immigration document into SAVE to check their immigration status and confirm eligibility?
This person's claim number would end in a "C". They would have a child who receives SSI and, because of a disability, receives it as an adult.
What is DAC (Disabled Adult Child)?
This is a standardized deduction that is given to reduce income.
What are disregards?
These are ABD, Medically needy Non-Spenddown Coverage Group(s) / Track(s).
What is S98?
The suffix in the Social Security Claim Number represents.
What is the relationship to the wage earner?
An individual who does not meet the citizenship requirement but has a qualified immigration status. Meaning they are not a US citizen, but they have a qualified immigration status.
What is a Non-Citizen?
This covers the payment of medicare Part B Premium only and starts the month of application.
What is SLMB (Specified Low Income Medicare Beneficiaries)?
Acronym for SSI?
What is Supplemental Security Income?
These are the undocumented or unqualified immigrants with emergency medicaid Group(s) / Track(s).
What is X02?
These are the Financial Factors.
*Hint* It could be known as two things.
What are Resources / Assets?
If an individual was granted qualified immigration status on January 1, 2022, when will they have met their 5-year bar?
What is January 1, 2027?
This person received SSI and SSDI concurrently and a COLA put them over the SSI income limit.
What is Pickle Eligible?
The period of time a person is actually eligible for Medical Assistance.
What is the Certification Period?
These are ABD Medically needy with a Spenddown Group(s) / Track(s).
What is S99?
These are the Non-Financial Factors / Technical Factors.
What are Identity, Citizenship, and Residency?
A non-citizen legally admitted to the U.S.
Who is a qualified alien?