Definition | Section or Citation |
"Federal poverty level" or "FPL" | A.R.S. § 36-2981 |
"Medicare Cost Sharing" | R9-29-101 |
"Non-QMB Dual" | R9-29-101 |
"QI-1" | R9-29-101 |
"QMB Dual" | R9-29-101 |
"QMB Only" | R9-29-101 |
"SLMB" | R9-29-101 |
"Medicare Cost Sharing" (MCS). The MCS Program is administered by the Administration and provides help to Medicare beneficiaries with costs related to Medicare services. MCS is also referred to as the "Medicare Savings Programs."
"Non-QMB Dual" means a person who qualifies to receive both Medicare and Medicaid services, but does not qualify for the QMB program.
"QI-1" means a person who qualifies as a Medicare beneficiary and for cost sharing assistance with the person's Part B premium known as Qualified Individual-1 (QI-1). This person does not qualify for QMB due to the person's income exceeding the QMB and SLMB FPL level.
"QMB Dual" means a person determined eligible under Article 2 of this Chapter for Qualified Medicare Beneficiary (QMB) and eligible for Acute Care services provided for in 9 A.A.C. 22 or ALTCS services provided for in 9 A.A.C. 28. A QMB Dual person receives both Medicare and Medicaid services and cost sharing assistance. For the purpose of Article 2 of this Chapter, QMB includes members defined in A.R.S. § 36-2971(5).
"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).
"SLMB" means a person who qualifies as a Medicare beneficiary and for cost sharing assistance with the person's Part B premium known as Specified Low Income Medicare Beneficiary (SLMB). This person does not qualify for QMB due to the person's income exceeding the QMB FPL level.
Ariz. Admin. Code § R9-29-101