215.01 Verification: QDWI (MAM)

SR 13-35 Dated 10/13

Previous Policy

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Verify Part A entitlement at the initial eligibility determination.

. Acceptable verification is documentation from SSA that indicates the individual is entitled to enroll in Part A.

For remaining eligibility criteria, acceptable verification documents all of the following:

. individual meets the categorical and technical requirements for QDWI; and

. individual is not otherwise eligible for medical assistance.

References: 42 CFR 406, 42 CFR 435.914, Section 1905(s) of the Social Security Act, 42 USC 1396d(s)