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.
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.
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.
Examples of SLMB Plus in a sentence
Members For purposes of this Agreement, High Risk Dual Eligible Members are limited to the following categories of recipients: QMB Plus and SLMB Plus.
More Definitions of SLMB Plus
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, EXHIBIT B MA SNPS APPLICABLE SERVICE AREAS AND DUAL ELIGIBLE AND OTHER DUAL ELIGIBLE CATEGORIES MA SNP PLAN NAME H# SERVICE AREA BY COUNTY OR ZIP CODE CATEGORY OF SNP (Dual, Chronic, Institutional) APPLICABLE CATEGORY OF DUAL ELIGIBLE WellCare Select H1032061 Brevard, Broward, Dade, Xxxxx, Xxxxxxxx, Highlands, Hillsborough, Indian River, Lake, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Seminole, Sumter, St. Lucie Dual FBDE, QDWI, QI, QMB, QMB+, SLMB, SLMB+ WellCare Select H1032101 Bay, Xxxxxxx, Citrus, Escambia, Franklin, Gadsden, Gulf, Holmes, Jefferson, Xxxx, Liberty, Madison, Okaloosa, Santa Xxxx, Wakulla, Washington Dual FBDE, QDWI, QI, QMB, QMB+, SLMB, SLMB+ WellCare Access H1032124 Bay, Broward, Brevard, Calhoun, Citrus, Xxxxx, Escambia, Franklin, Gadsden, Gulf, Hernando, Highlands, Hillsborough, Xxxxxx, Indian River, Jefferson, Lake, Leon, Liberty, Madison, Manatee, Marion, Martin, Okaloosa, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Santa Xxxx, Seminole, St. Lucie, Sumter, Wakulla, Washington Dual FBDE, QMB, QMB+, SLMB+ WellCare Access H1032170 Dade Dual FBDE, QMB, QMB+, SLMB+