717.13 When is Part B Buy-In Effective? SR 98-01, 06/98 (FAM-A)

Compute the eligibility date for Part B Buy-In according to the most appropriate formula below:

Buy-In due to receipt of financial assistance:

• If an individual is already eligible for Part B, they are eligible in the first month they become eligible for financial assistance.

• If an individual is already receiving financial assistance, they are eligible in the first month they become eligible for Part B.

• If eligibility for Part B is discovered late, compute Part B buy-in to restore benefits up to 1 calendar year prior to the date of discovery. For any restoration period in excess of 1 calendar year, contact the Bureau of Data Management.

Buy-In due to receipt of categorically needy medical assistance:

• Medical assistance applicants already eligible for Part B are eligible in the first month they become eligible for medical assistance.

• If an individual is already receiving medical assistance and then becomes eligible for Part B at a later date, begin buy-in the first month they become eligible for Part B.

Buy-In due to receipt of QMB:

• QMB buy-in begins the month after the month in which eligibility is determined.

• If an individual is eligible for QMB and is eligible for buy-in due to receipt of financial or categorically needy medical assistance, the buy-in date is the earliest date they become buy-in eligible.

Buy-In due to receipt of SLMB or SLMB135

• Begin buy-in the first day of the month of application..

• Retroactive assistance is allowed. See the Adult Assistance Manual, Section 109.11, Application for Retroactive Medical Assistance or SLMB.