SLMB Plus definition

SLMB Plus means a SLMB who also meets the financial criteria for full Medicaid Coverage. SLMB Plus individuals are entitled to payment of Medicare Part B premiums, plus all benefits available under the Texas State Plan for fully eligible Medicaid recipients.
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SLMB Plus. SLMBs that are entitled to Medicare Part A, have income of greater than 100% FPL, but less than 120% FPL and resources that do not exceed twice the limits for SSI eligibility, and are also eligible for full Medicaid coverage. Such individuals are entitled to Medicaid payment of the Medicare Part B premium, as well as full State Medicaid benefits.
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SLMB Plus is an individual (i) who meets all the financial criteria for SLMBs and who also meets the financial criteria for full Medicaid coverage under the Medicaid State Plan. Under the Medicaid State Plan, a SLMB-Plus is eligible for full Medicaid benefits as well as financial assistance from the Agency in connection with certain Medicare benefits, including payment of Medicare Part B premiums. Medicare cost-sharing obligations may effectively be covered by state Medicaid benefit, but certain conditions must be met, including 1) the service is also covered Medicaid, 2) the provider is also a Medicaid provider, and 3) the Medicaid fee schedule amount is greater than the Medicare amount paid,
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Examples of SLMB Plus in a sentence

  • You are also eligible for full Medicaid benefits from your state Medicaid program.· Specified Low-Income Medicare Beneficiary Plus (SLMB Plus): Helps pay Part B premiums.

  • Members For purposes of this Agreement, High Risk Dual Eligible Members are limited to the following categories of recipients: QMB Plus and SLMB Plus.

  • This includes Qualified Medicare Beneficiaries with full Medicaid (QMB Plus) and Specified Low-Income Medicare Beneficiaries with full Medicaid (SLMB Plus) aged 65 or older and with MassHealth Standard coverage.

  • These individuals are considered to be Full Benefit Dual Eligible Members, and include Qualified Medicare Beneficiary Plus (QMB Plus), Specified Low-Income Medicare Beneficiary Plus (SLMB Plus) and Other Full Benefit Dual Eligible (Other FBDE) populations.

  • This plan may enroll dual eligibles who are FBDE, SLMB Plus, QMB Plus and QMB.

  • For a SLMB Plus Full Benefit Dual Eligible Member, AHCCCS shall provide payment of the applicable Medicare Part B premium only.• Other Full Benefit Dual Eligible Member: An individual who is entitled to Medicare, does not meet either QMB Plus or SMB Plus categorical income criteria, but is determined eligible for full AHCCCS benefits.

  • 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).

  • This includes Qualified Medicare Beneficiaries with full Medicaid (QMB Plus) and Low-Income Medicare Beneficiaries with full Medicaid (SLMB Plus) aged 65 or older and with MassHealth Standard coverage.

  • Reinstate the coverage with the begin date as the first day of the month of admission to long-term care using the appropriate AC for SLMB Plus.

  • 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).


More Definitions of SLMB Plus

SLMB Plus is an individual (i) who meets all the Specified Low-Income Medicare Beneficiary (SLMB) eligibility requirements and who also meets the criteria for full Medicaid benefits under New York’s Medicaid Plan.
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Related to SLMB Plus

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  • State purchased health care or "health care" means medical

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  • €STRi-pTBD means, in respect of any TARGET Business Day falling in the relevant Interest Accrual Period, the €STR for the TARGET Business Day falling “p” TARGET Business Days prior to the relevant TARGET Business Day “i”;

  • QFII means a qualified foreign institutional investor approved pursuant to the relevant PRC regulations (as amended from time to time).

  • Participating Corporation means any Parent, Subsidiary or Affiliate that the Committee designates from time to time as eligible to participate in this Plan. For purposes of the Section 423 Component, only the Parent and Subsidiaries may be Participating Corporations, provided, however, that at any given time a Parent or Subsidiary that is a Participating Corporation under the Section 423 Component shall not be a Participating Corporation under the Non-Section 423 Component. The Committee may provide that any Participating Corporation shall only be eligible to participate in the Non-Section 423 Component.

  • CESA means the California Endangered Species Act, California Fish and Game Code, section 2050, et seq.

  • OWRA means the Ontario Water Resources Act, R.S.O. 1990, c. O.40, as amended;

  • School Corporation means the Western Xxxxx County Community School Corporation of the County of Xxxxx of the State of Indiana;

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  • Transferee Company means any company or body corporate established in the Islands or in any other jurisdiction.

  • Qualifying corporation means any person classified for federal income tax purposes as an association taxable as a corporation, except either of the following:

  • Distribution Company means a distribution company as defined in Section 1 of Chapter 164 of the Massachusetts General Laws.3

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  • MPI means the Borrower’s Ministry of Planning and Investment, and any successor thereto.

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