Chapter 11-000 Medicare Savings Program/Qualified Medicare Beneficiaries (MSP/QMB)

MSP/QMB is a new Medicaid group for individuals with income equal to or less than 100% FPL but who have resources in excess of the $4,000 and $6,000 limits.  MSP/QMB individuals who are within specific resource guidelines at 469 NAC 11-001.02 are eligible for payment of deductibles and co-pay costs associated with Medicare claims. They are not eligible for additional medical services or State supplement payments. An annual review is required to verify income and resources.

Public Law 110-275, Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), Section 112, required increased resources for this group. The resource limit amounts are adjusted annually.

{5/1/2010}

11-001 Eligibility Requirements