6-001.05 Receipt of Other Assistance

469 NAC 6-001.05

Through the AABD program an individual may choose to receive either payment of the Medicare Part A premium or full medical assistance benefits but not both at the same time. While receiving either form of assistance, the client may request the other; however, the client is not eligible for full medical assistance benefits for any month for which the Department has paid the Medicare Part A premium.

If a client who is on AABD/MA with excess and is paying his/her own Part A Medicare premium fails to meet his/her excess obligation, the Department retroactively pays the Medicare Part A premium for the excess cycle. At the end of this excess cycle, the client must decide whether to continue with the state paying the Part A premium or to begin a new excess cycle and assume payment of the Part A premium him/herself.