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The purpose of this LCM is to inform social services districts of interim procedures which must be followed to accrete Specified Low Income Medicare Beneficiaries (SLIMBs) to Medicare Part B buy-in. SLIMBs is a new group of buy-in eligibles created by the federal Omnibus Budget Reconciliation Act of 1990. Applicants must meet the criteria found in 89 ADM-7 for Qualified Medicare Beneficiaries (QMB), except that their net income must be greater than 100 and less than 110 percent of the Federal Poverty Line (FPL). The MA program will pay the Medicare Part B monthly premiums for SLIMBs. Unlike QMBs, SLIMB eligibility can be established three months prior to the month of application for MA.
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