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.
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