QMB Only definition

QMB Only means a QMB who does not qualify for any additional QMB Medicaid Benefits.

QMB Only means a person who qualifies to receive Medicare services only and cost-sharing assistance known as Qualified Medicare Beneficiary program (QMB). For the purpose of Article 2 of this Chapter, QMB includes members defined in A.R.S. § 36-2971(5).

QMB Only means Qualified Medicare Beneficiary only and is defined in A.R.S. § 36-2971. “Third-party” is defined in 9 A.A.C. 22, Article 1.‌

Examples of QMB Only in a sentence

• A QMB Member's card shows "QMB" or "QMB Only." QMB Members have Medicare and full Medicaid coverage, as well.

• A QMB Recipient's card shows "QMB" or "QMB Only." QMB Recipients have Medicare and full Medicaid coverage, as well.

• This category includes QMB Only and QMB Plus, the two categories of dual eligibility that have all Medicare Parts A and B cost sharing covered by Medicaid, and may also include other dually eligible enrollees for whom the state covers Part A or Part B cost sharing (such as SLMB Plus).

• Dual eligibles include, but are not limited to, persons who are referred to as QMB Only, QMB Dual, SLMB, QI 1, Acute Care Duals and ALTCS Duals.

• Some provider specialties are reimbursable by the Medicaid Program as QMB Only providers.

• The Medicaid eligibility categories encompass all categories of Medicaid eligibility including: • Full Medicaid (only); • Qualified Medicare Beneficiary without other Medicaid (QMB Only); • QMB Plus; • Specified Low-Income Medicare Beneficiary without other Medicaid (SLMB Only); • SLMB Plus; • Qualifying Individual (QI); and • Qualified Disabled and Working Individual (QDWI).

• Collectively, these benefits [services] are called “QMB Medicaid Benefits [Services].” Categories of QMBs covered by this Contract are as follows: QMB Only – QMBs who are not otherwise eligible for full Medicaid.

• QMB Only participants are eligible only for payment of Medicare cost sharing.

• QMB’s without other Medicaid (QMB Only) – these individuals are entitled to Medicare Part A, and are not otherwise eligible for full Medicaid.

• States have discretion to disregard certain income and assets, effectively making those criteria more generous.14 ,15,16 Enrollees who meet the QMB program’s qualifying criteria fall into two groups: “QMB Only” and “QMB Plus.” QMB Only beneficiaries are entitled to QMB cost-sharing support for Medicare benefits, but do not qualify for any other Medicaid benefits; QMB Plus enrollees qualify for both QMB cost-sharing support and all services provided by their states’ full Medicaid programs.

More Definitions of QMB Only

QMB Only means a person who qualifies to receive Medicare services only and cost-sharing assistance

QMB Only means Qualified Medicare Beneficiary only and is defined in A.R.S. § 36-2971.