SLMB Only definition
SLMB Only means a SLMB does not qualify for any additional Medicaid benefits.
SLMB Only is an individual (i) who is entitled to Medicare Part A benefits; (ii) who has annual income that exceeds 100% FPL but is less than 120% FPL; and (iii) whose resources do not exceed twice the SSI limit. Under the Medicaid State Plan, a SLMB is eligible for financial assistance from the Agency in connection with certain Medicare benefits, including payment of Medicare Part B premiums.
SLMB Only. The member’s benefits are limited to payment of the member’s Medicare Part B premium only. Specified Low-Income Medicare Beneficiary Plus (SLMB+): The member’s benefits include payment of the member’s Medicare Part B premium in addition to Traditional Medicaid benefits throughout each month of eligibility, including deductibles, co-insurance and co-pays (except for Part D). Qualifying Individual (QI): The member’s benefit is payment of the member’s Medicare Part B premium. The Eligibility Verification System (EVS) identifies this coverage as Qualified Individual. Qualified Disabled Working Individual (QDWI): The member’s benefit is payment of the member’s Medicare Part A premium. The EVS identifies this coverage as Qualified Medicare Beneficiary.