HAR §17-1744-2. REPEALED

[R 09/30/13] SUBCHAPTER 2 SUPPLEMENTARY MEDICAL INSURANCE (SMI) §17-1744-3 Referral of recipients for medicare coverage. (a) All recipients who are eligible but not enrolled for medicare coverage shall be referred to the Social Security Administration for enrollment through the SMI buy-in process. Among those who are eligible for medicare are those who meet the requirement of five years of residency in the United State, and who: (1) Are sixty-five years of age or older; (2) Have received at least twenty four months of RSDI disability benefits; or (3) Are end-stage renal disease (ESRD) patients. (b) All recipients who are enrolled in medicare part A (HIB), but not in part B (SMI), shall be referred to the Social Security Administration for part B enrollment through the SMI buy-in process. The exception to the preceding are the qualified disabled working individuals (QDWI) who are only eligible for coverage of part A premiums under the medical assistance program. (c) Recipients who are enrolled in medicare part B, but not in part A, shall be informed of the qualified medicare beneficiary (QMB) program and a part A buy-in referral shall be made, if applicable. UNOFFICIAL 1744-4 (d) The recipient's consent for SMI buy-in shall not be required. However, the recipient shall be informed that the department is enrolling the recipient for coverage. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42. C.F.R. §431.625) §17-1744-4 Effective date of medicare part B (SMI) premium coverage. (a) For financial assistance applicants who are aged, blind, disabled or AFDC- related and are also SMI enrollees, the effective date of SMI premium coverage, through buy-in enrollment, shall be the first month for which financial assistance is approved. (b) For supplemental security income (SSI) beneficiaries who are approved for medical assistance only and are SMI enrollees, the effective date of SMI premium coverage, through the buy-in process, shall be the effective date of medical assistance coverage. (c) For applicants newly approved for medical assistance only under federally funded assistance groups with the exception of QMBs, SLMBs, and QDWIs, the effective date of coverage of SMI premiums shall be the first day of the second month after the month in which eligibility for medical assistance is determined. (d) For all aged, blind, disabled, and AFDC- related recipients of financial or medical assistance, who subsequently become eligible for SMI, the effective date of coverage of SMI premiums through the buy-in process shall be the effective date of SMI coverage. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §431.625; 42 U.S.C. §§1395i-2a and 1396(a)(10)(E)) SUBCHAPTER 3 RECIPIENTS OF FINANCIAL OR REGULAR MEDICAL ASSISTANCE §17-1744-5 Coverage of medicare premiums for financial or regular medical assistance recipients. (a) Financial and medical assistance recipients, other than QMBs and QDWIs, are only entitled to coverage of premiums for medicare part B (SMI). (b) Financial and medical assistance recipients, other than QMBs and QDWIs, are not eligible for UNOFFICIAL 1744-5 coverage of premiums for medicare part A (HIB). (c) The effective dates of medicare part B coverage, through the buy-in process, are described in section 17-1744-4. (d) A recipient shall not withdraw from SMI coverage while the recipient is enrolled under the department's buy-in arrangement. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §431.625)