Qualified Medicare beneficiary definition

Qualified Medicare beneficiary or “QMB” means an individual who has been determined eligible for the QMB program pursuant to 441—subrule 75.1(29). Under the QMB program, Medicaid pays the individual’s Medicare Part A and B premiums; coinsurance; copayment; and deductible (except for Part D).
Qualified Medicare beneficiary means a person who is entitled to
Qualified Medicare beneficiary. (QMB) means a person eligible under A.R.S. (S) 36-2971 (4), who is entitled to Medicare Part A insurance, meets certain income, resource and residency requirements of the Qualified Medicare Beneficiary program. A QMB who is also eligible for Medicaid is commonly referred to as a dual eligible.

Examples of Qualified Medicare beneficiary in a sentence

  • The member’s desire for intimacy is respected and supported.[ ARC 2341C, IAB 1/6/16, effective 2/10/16; ARC 4792C, IAB 12/4/19, effective 1/8/20] 441—77.53(249A) Qualified Medicare beneficiary (QMB) providers.

  • There is no provision for retroactive coverage in the Qualified Medicare beneficiary (QMB) program.

  • This rule is intended to implement Iowa Code section249A.4.[ ARC 2341C, IAB 1/6/16, effective 2/10/16; ARC 4792C, IAB 12/4/19, effective 1/8/20; ARC 6310C, IAB 5/4/22, effective 7/1/22] 441—77.53(249A) Qualified Medicare beneficiary (QMB) providers.

  • The member’s desire for intimacy is respected and supported.[ ARC 2341C, IAB 1/6/16, effective 2/10/16] 441—77.53(249A) Qualified Medicare beneficiary (QMB) providers.

  • Quality assessment and performance improvement QIQuality improvement QMQuality management QMBQualifying medical bills Qualified Medicare beneficiary QsourceCenter for Healthcare Quality Qualified Health PlanRefers to insurance plans that have been certified as meeting a minimum benchmark of benefits (i.e. the essential health benefits) under health reform.

  • Qualified Medicare beneficiary (QMB) providers shall enroll using Form 470-5262, Qualified Medicare Beneficiaries (QMB) or Health Insurance Premium Payment (HIPP) Program Provider Enrollment Application.ITEM 8.

  • These persons shall be issued a Medical Assistance Eligi- bility Card (Limited Benefits), Form 470-2188, by the department.76.6(4) Qualified Medicare beneficiary.

  • A Qualified Medicare beneficiary (QMB) is: A person entitled to Medicare hospital benefits under Part A.

  • Adopt the following new rule 441—77.53(249A): 441—77.53(249A) Qualified Medicare beneficiary (QMB) providers.


More Definitions of Qualified Medicare beneficiary

Qualified Medicare beneficiary means an individual who meets the eligibility criteria for the Qualified Medicare Beneficiary program specified in Section 50258.
Qualified Medicare beneficiary or "QMB Only" is an individual (i) who is entitled to Medicare Part A; (ii) who has income that does not exceed 100% FPL; and (iii) whose resources do not exceed twice the SSI limit. Under the State Medicaid Program, a QMB is eligible for financial assistance from the Agency in connection with certain Medicare benefits, including Medicare Part A and Part B premiums and cost-sharing obligations.

Related to Qualified Medicare beneficiary

  • Qualified beneficiary means a beneficiary who, on the date the beneficiary's qualification is determined:

  • Family child care provider means a person who: (a) Provides

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Family child care home means a private home in which 1 but fewer than 7 minor children are received for care and supervision for compensation for periods of less than 24 hours a day, unattended by a parent or legal guardian, except children related to an adult member of the household by blood, marriage, or adoption. Family child care home includes a home in which care is given to an unrelated minor child for more than 4 weeks during a calendar year. A family child care home does not include an individual providing babysitting services for another individual. As used in this subparagraph, "providing babysitting services" means caring for a child on behalf of the child's parent or guardian if the annual compensation for providing those services does not equal or exceed $600.00 or an amount that would according to the internal revenue code of 1986 obligate the child's parent or guardian to provide a form 1099-MISC to the individual for compensation paid during the calendar year for those services.

  • Alternate Payee means any spouse, former spouse, child, or other dependent of a Participant who is recognized by a qualified domestic relations order as having a right to receive all, or a portion of, the benefits payable under a Plan with respect to such Participant.

  • Adult care home means any nursing facility, nursing facility for

  • Non-Participating Certified Nurse Practitioner means a Certified Nurse Practitioner who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Qualified mental health professional means a licensed medical practitioner or any other person meeting the qualifications specified in OAR 309-019-0125.