36-2973. Qualified medicare beneficiary only; eligibility determination; application; enrollment
A. The administration shall determine the eligibility of all applicants who may be eligible as qualified medicare beneficiaries only. The administration shall ensure that the calculation of income eligibility requirements is in accordance with federal law and the section 1115 waiver. On determination of qualified medicare beneficiary only eligibility, the administration shall enroll the member in the system.
B. The administration may enroll the member who has been determined eligible as a qualified medicare beneficiary only in a fee-for-service arrangement. The director may enter into a contract with a medicare risk contractor that, in accordance with section 1876 of the social security act, has a contract with the health care financing administration and may pay premiums for enrollment of that member.
Section: Previous 36-2956 36-2957 36-2958 36-2959 36-2960 36-2971 36-2972 36-2973 36-2974 36-2975 36-2976 36-2981 36-2982 36-2983 36-2985 NextLast modified: October 13, 2016