WAC 182-504-0025
WAC 182-504-0025. Medicare savings program certification periods
Certification periods for the different kinds of medicare savings programs are not all the same. The chart below explains the differences.
Medicare Savings Program Certification Period Start Date QMB (qualified medicare beneficiary) S03 12 months On the first day of the month following QMB eligibility determination SLMB (Special low income medicare beneficiary) S05 12 months Up to three months prior to the certification period if on the first day of the first month of certification, the person: • Is or has been enrolled in medicare Part B; and • Meets SLMB eligibility requirements. QDWI (Qualified disabled working individual) S04 12 months Up to three months prior to the certification period if on the first day of the first month of certification, the person: • Is or has been enrolled in medicare Part A; and • Meets QDWI eligibility requirements. QI-1 (Qualified individual) S06 Thru the end of the calendar year following QI-1 eligibility determination Up to three months prior to the certification period if on the first day of the first month of certification, the person: • Is or has been enrolled in medicare Part B; and • Meets QI-1 eligibility requirements.
Medicare Savings Program
Certification
Period
Start Date
QMB (qualified medicare beneficiary)
S03
12 months
On the first day of the month following QMB eligibility determination
SLMB (Special low income medicare beneficiary)
S05
12 months
Up to three months prior to the certification period if on the first day of the first month of certification, the person:
• Is or has been enrolled in medicare Part B; and
• Meets SLMB eligibility requirements.
QDWI (Qualified disabled working individual)
S04
12 months
Up to three months prior to the certification period if on the first day of the first month of certification, the person:
• Is or has been enrolled in medicare Part A; and
• Meets QDWI eligibility requirements.
QI-1 (Qualified individual)
S06
Thru the end of the calendar year following QI-1 eligibility determination
Up to three months prior to the certification period if on the first day of the first month of certification, the person:
• Is or has been enrolled in medicare Part B; and
• Meets QI-1 eligibility requirements.