Cal. Code Regs. tit. 22 § 50258.1

Current through Register 2024 Notice Reg. No. 45, November 8, 2024
Section 50258.1 - Specified Low-Income Medicare Beneficiary Program (SLMB)
(a) Eligibility Criteria: A SLMB is ineligible as a QMB solely due to excess income. To receive Medi-Cal benefits under the SLMB program an individual eligible for such benefits must:
(1) Be entitled to Part A Medicare hospital insurance benefits, and
(2) Meet the qualifying income level as defined in Section 50570(b) (the share of cost process for incurred medical expenses under Article 12 of this chapter is not applicable under this program), and
(3) Meet the qualifying property (resource) limit as defined in Section 50421.
(b) Period of Eligibility: Eligibility for the SLMB program shall begin the first month eligibility is approved. A SLMB may be eligible for up to three months of retroactive benefits from the month of application as provided in Section 50197 but no earlier than January 1, 1993.
(c) Benefits: The Department shall pay Medicare Part B premiums for SLMB as defined in Section 50091.5.

Cal. Code Regs. Tit. 22, § 50258.1

1. New section filed 12-21-93; operative 1-20-94 (Register 93, No. 52).
2. Change without regulatory effect amending subsection (b) and NOTE filed 6-21-2012 pursuant to section 100, title 1, California Code of Regulations (Register 2012, No. 25).

Note: Authority cited: Section 20, Health and Safety Code; and Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Section 1396 a(a)(10)(E)(iii), Title 42, United States Code; and Section 14005.11, Welfare and Institutions Code.

1. New section filed 12-21-93; operative 1-20-94 (Register 93, No. 52).
2. Change without regulatory effect amending subsection (b) and Note filed 6-21-2012 pursuant to section 100, title 1, California Code of Regulations (Register 2012, No. 25).